Updated 18 April 2024
We carried out this announced comprehensive inspection on 14 March 2024 under section 60 of the Health and Social Care Act 2008 as part of our regulatory functions.
We planned the inspection to check whether the registered practice was meeting the legal requirements in the Health and Social Care Act 2008 and associated regulations.
The inspection was led by a Care Quality Commission (CQC) inspector who was supported by a specialist dental advisor.
To get to the heart of patients’ experiences of care and treatment, we always ask the following 5 questions:
- Is it safe?
- Is it effective?
- Is it caring?
- Is it responsive to people’s needs?
- Is it well-led?
These questions form the framework for the areas we look at during the inspection.
Our findings were:
- The dental clinic appeared clean and well-maintained.
- The practice had infection control procedures which reflected published guidance.
- Staff knew how to deal with medical emergencies. Appropriate medicines and life-saving equipment were available.
- The practice had systems to manage risks for patients, staff, equipment and the premises.
- Safeguarding processes were in place and staff knew their responsibilities for safeguarding vulnerable adults and children.
- The practice had staff recruitment procedures which reflected current legislation.
- Clinical staff provided patients’ care and treatment in line with current guidelines.
- Patients were treated with dignity and respect. Staff took care to protect patients’ privacy and personal information.
- Staff provided preventive care and supported patients to ensure better oral health.
- The appointment system worked efficiently to respond to patients’ needs.
- The frequency of appointments was agreed between the dentist and the patient, giving due regard to National Institute of Health and Care Excellence (NICE) guidelines.
- There was effective leadership and a culture of continuous improvement.
- Staff felt involved, supported and worked as a team.
- Staff and patients were asked for feedback about the services provided.
- Complaints were dealt with positively and efficiently.
- The practice had information governance arrangements.
Background
Clarence House Dental Health Centre in Gloucester and provides private dental care treatment for adults and NHS for children.
There is step free access to the practice for people who use wheelchairs and those with pushchairs. Car parking spaces, including dedicated parking for disabled people, are available near the practice. The practice has made reasonable adjustments to support patients with access requirements.
The dental team includes 3 dentists, 10 dental nurses, 3 trainee dental nurses, 1 dental hygienists, 3 dental therapists, 2 receptionists, 1 practice manager, 1 CSR (Central sterilisation room) operator and 1 administrator. The practice has 5 treatment rooms.
During the inspection we spoke with 2 dentists, 3 dental nurses, 3 trainee dental nurses, 1 dental therapists, X dental hygienists, 2 receptionists, 1 CSR (Central sterilisation room) operator, and 1 practice manager. We looked at practice policies, procedures and other records to assess how the service is managed.
The practice is open:
- Monday 8am to 6pm
- Tuesday 8am to 5pm
- Wednesday 8am to 5pm
- Thursday 8am to 5pm
- Friday 8am to 3:45pm
- Saturday by appointment
We noted innovative approaches to providing person centred care. For example, a member of staff had created a sheet of ‘QR’ codes which directed patients to the British Basic periodontal website for specific dental treatment advice sheets.