Background to this inspection
Updated
8 March 2017
We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection was planned to check whether the registered provider was meeting the legal requirements and regulations associated with the Health and Social Care Act 2008
The inspection was led by a CQC inspector who was supported by a specialist dental adviser.
During the inspection we spoke with three patients, three dentists, three dental nurses and the practice manager. To assess the quality of care provided we looked at practice policies and protocols and other records relating to the management of the service.
We contacted the NHS local area team prior to our visit for information on the practice; nothing of concern was highlighted.
To get to the heart of patients’ experiences of care and treatment, we always ask the following five questions:
These questions therefore formed the framework for the areas we looked at during the inspection.
Updated
8 March 2017
We carried out an announced comprehensive inspection on 18 January 2017 to ask the practice the following key questions; Are services safe, effective, caring, responsive and well-led?
Our findings were:
Are services safe?
We found that this practice was providing safe care in accordance with the relevant regulations.
Are services effective?
We found that this practice was providing effective care in accordance with the relevant regulations.
Are services caring?
We found that this practice was providing caring services in accordance with the relevant regulations.
Are services responsive?
We found that this practice was providing responsive care in accordance with the relevant regulations.
Are services well-led?
We found that this practice was providing well-led care in accordance with the relevant regulations.
Background
Broom Road Dental Care is located in Rotherham and is part of the Jones and Joseph Dental Practices group. The practice offers NHS and private treatments which includes dental implants and conscious sedation services. There are four treatment rooms, a decontamination room, a waiting room and separate reception area. There are office and staff facilities upstairs and a ground floor toilet for patients.
There are six dentists (one is a foundation training dentist) six dental nurses, (two are trainees), a practice manager, a receptionist and a contract practice cleaner.
Access to the main entrance of the practice is via a set of steps from the main road. To assist patients with impaired mobility, access can be achieved through the rear entrance. Parking is available on local roads.
The practice is open between 09:00am – 5:30pm Monday to Friday.
The principal dentist is registered with the Care Quality Commission (CQC) as an individual registered person. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the practice is run.
On the day of inspection we received 12 CQC comment cards providing feedback. Patients who provided feedback were very positive about the care and attention to treatment they received at the practice. Comments included that patients felt they were involved in all aspects of their care and found the staff to be very pleasant and helpful, the practice had a happy environment; staff were friendly and communicated well. Patients commented they could access emergency care easily and they were treated with dignity and respect in a clean and tidy environment.
Our key findings were:
- The practice had systems in place to assess and manage risks to patients and staff including infection prevention and control, health and safety and the management of medical emergencies.
- The practice was visibly clean and tidy.
- Staff had received safeguarding training, knew how to recognise signs of abuse and how to report it. They had systems in place to work closely and share information with the local safeguarding team.
- There were sufficient numbers of suitably qualified staff to meet the needs of patients.
- Infection control procedures were in accordance with the published guidelines.
- Oral health advice and treatment were provided in line with the ‘Delivering Better Oral Health’ toolkit (DBOH).
- Treatment was well planned and provided in line with current guidelines.
- Patients received clear explanations about their proposed treatment, costs, benefits and risks and were involved in making decisions about it.
- Patients were treated with dignity and respect and confidentiality was maintained.
- The appointment system met patients’ needs.
- The practice was well-led and staff felt involved and supported and worked well as a team.
- The governance systems were effective and embedded.
- The practice sought feedback from staff and patients about the services they provided.
- There were clearly defined leadership roles within the practice.