The Care Quality Commission
  • Dentist
  • Dentist

Bredbury Dental Centre

219 George Lane, Bredbury, Stockport, Greater Manchester, SK6 1DJ (0161) 430 5999

Provided and run by:
Bredbury Dental Centre Ltd

All Inspections

17/04/2024

During an inspection looking at part of the service

We undertook an off-site follow up inspection of Bredbury Dental Centre on 17 April 2024. This inspection was carried out to review the actions taken by the registered provider to improve the quality of care and to confirm that the practice was now meeting legal requirements.

The inspection was led by a CQC inspector who had remote access to a specialist dental advisor.

We had previously undertaken a comprehensive inspection of Bredbury Dental Centre on 31 January 2024 under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. We found the registered provider was not providing well-led care and was in breach of regulation 17 of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014.

You can read our report of that inspection by selecting the 'all reports' link for Bredbury Dental Centre on our website www.cqc.org.uk.

When 1 or more of the 5 questions are not met we require the service to make improvements and send us an action plan. We then inspect again after a reasonable interval, focusing on the area where improvement was required.

As part of this inspection we asked:

  • Is it well-led?

Our findings were:

Are services well-led?

We found this practice was providing well-led care in accordance with the relevant regulations.

The provider had made improvements in relation to the regulatory breach we found at our inspection on 31 January 2024.

Background

Bredbury Dental Centre is part of A&U Dental, a dental group provider. The practice is in Stockport in Greater Manchester and provides NHS and private dental care and treatment for adults and children.

There is ramp access to the practice for people who use wheelchairs and those with pushchairs. The practice is located close to local transport routes and car parking spaces are available near the practice. The practice has made reasonable adjustments to support patients with access requirements.

The dental team includes 7 dentists, 1 foundation dentist, 7 dental nurses (including 4 trainees), 2 dental hygiene/therapists, 3 receptionists, 1 receptionist/dental nurse and 1 practice coordinator/dental nurse. There is a newly appointed practice manager who was joining the practice shortly after the inspection. The practice has 8 treatment rooms.

During the inspection we spoke with the group’s dental director and integration and clinical manager. We looked at practice policies, procedures and other records to assess how the service is managed.

The practice is open:

Monday, Wednesday, Thursday from 8am to 5.30pm

Tuesday from 8am to 7pm

Friday from 8am to 5pm

Saturday from 9am to 2pm (every 2 weeks)

31/01/2024

During a routine inspection

We carried out this announced comprehensive inspection on 31 January 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.
  • Improvements were needed to the systems for managing 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. Improvements were needed to ensure these protocols were consistently followed.
  • 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.
  • Improvements were needed to the practice’s information governance arrangements.
  • 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.
  • 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.

Background

Bredbury Dental Centre is part of A&U Dental, a dental group provider. The practice is in Stockport in Greater Manchester and provides NHS and private dental care and treatment for adults and children.

There is ramp access to the practice for people who use wheelchairs and those with pushchairs. The practice is located close to local transport routes and car parking spaces are available near the practice. The practice has made reasonable adjustments to support patients with access requirements.

The dental team includes 7 dentists, 1 foundation dentist, 14 dental nurses (including 6 trainees), 1 dental hygienist, 1 dental therapist, 1 practice manager/dental nurse, 3 receptionists, 1 receptionist/dental nurse and 1 practice coordinator/dental nurse. The practice has 8 treatment rooms.

During the inspection we spoke with 2 dentists, 1 dental nurse, 3 receptionists and the practice manager. The team were supported by the group’s integration and clinical manager. We looked at practice policies, procedures and other records to assess how the service is managed.

The practice is open:

Monday, Wednesday, Thursday from 8am to 5.30pm
Tuesday from 8am to 7pm
Friday from 8am to 5pm

Saturday from 9am to 2pm (every 2 weeks)

We identified regulations the provider was not complying with. They must:

  • Establish effective systems and processes to ensure good governance in accordance with the fundamental standards of care.

Full details of the regulation the provider was not meeting are at the end of this report.

19 October 2015

During a routine inspection

We carried out an announced comprehensive inspection of this service on 19 October 2015 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

Bredbury Dental Practice is located on George Lane a residential area of Bredbury Stockport. There are public transport links close by. There is a small car park on site and on road parking outside the practice.

There are four treatment rooms which are located on the ground and first floors. The reception and waiting room are located on the ground floor. A dedicated decontamination room was located on the first floor.

There are five dentists working at the practice and they are supported by five dental nurses and three trainee dental nurses. In addition there is a receptionist and a practice manager.

The practice provides primary dental services to predominantly (99.9%) NHS patients with a very small amount (0.1%) of private patients.

The practice is open Monday, Wednesday and Thursday from 8am until 7pm, Tuesday from 8am until 5.30pm and Friday from 8am until 5pm. In the event of a patient requiring emergency treatment when the practice is closed they are advised to contact the NHS out of hour’s service. The emergency telephone number is in the patient leaflet, on the website and on the practice answer machine.

The practice manager is the registered manager. A registered manager is a person who is registered with the Care Quality Commission(CQC) to manage the service. Like registered providers, they are ‘registered persons’. 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.

We received feedback from five patients who completed CQC comment cards and we spoke with seven patients who were attending the practice for an appointment. Patients’ spoke highly about the staff and told us staff were respectful and caring.

Our key findings were:

  • Staff were clear about their role and responsibility to safeguarding children and adults. There were good safeguarding procedures in place that gave detailed information about local authority and NHS safeguarding teams and support groups.
  • Equipment, such as the air compressor, autoclave (steriliser), fire extinguishers, oxygen cylinder and X-ray equipment had all been regularly serviced.
  • Staff recruitment records contained the required documents and checks.
  • Patients were provided with sufficient information about their treatment options to enable them to make informed decisions.
  • The practice kept detailed dental care records that showed on-going monitoring of patients’ oral health.
  • New patients were asked to complete a medical history form that included information about allergies, general health and any medications they were taking. This was checked verbally at each consultation.
  • Patients were provided with information and guidance relating to good oral health such as smoking cessation and healthy diet.
  • Staff had been trained to handle medical emergencies. Appropriate medicines and life-saving equipment were readily available.
  • Staff were supported to maintain their continuing professional development (CPD) and had undertaken training appropriate to their roles.
  • The practice had clear procedures for managing comments, concerns or complaints.
  • The practice kept up to date with current guidelines and was led by a proactive management team.

There were areas where the provider could make improvements and should:

  • Review the decontamination process to ensure all instruments are clean and free from contaminants before being pouched.

17 April 2012

During a routine inspection

Patients told us that they were offered a choice of appointments that suited them and their lifestyles. They said that the choice and flexibility of appointments offered was very good.

Patients told us that reception staff were very helpful and always courteous.

Some of the patients spoken to told us they had accessed emergency appointments. We were told that appointments were either given for the same day but always within two days depending of the severity of the problem.

Patients told us that treatment options were always discussed with them prior to any treatment taking place.

Patients spoken to confirmed that medical histories were taken and any changes were reviewed at the beginning of each appointment.

None of the patients we spoke with said they had ever had to make a complaint. We were told that they were completely satisfied with the care and treatment provided at the practice.

Patients told us that they were always given protective equipment for example glasses and aprons on each visit to the practice.

Patients told us that the dentists always wore gloves and face masks when treating them.

Patients told us that the surgery was always clean and tidy.

All the patients spoken to told us they felt safe and trusted the advice of the dentist.