The Care Quality Commission
  • Dentist
  • Dentist

Bilston Street Dental Surgery

31A Bilston Street, Sedgley, Dudley, West Midlands, DY3 1JA (01902) 670749

Provided and run by:
Mr. Ravinder Kudhail

All Inspections

7 April 2022

During an inspection looking at part of the service

We carried out this announced focused inspection on 31 March 2022 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 adviser.

To get to the heart of patients’ experiences of care and treatment, we usually ask five key questions, however due to the ongoing COVID-19 pandemic and to reduce time spent on site, only the following three questions were asked:

• Is it safe?

• Is it effective?

• 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 to be visibly 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 help them manage risk to patients and staff.
  • 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.
  • The clinical staff provided patients’ care and treatment in line with current guidelines.
  • Patients were treated with dignity and respect and staff took care to protect their privacy and personal information.
  • Staff provided preventive care and supported patients to ensure better oral health.
  • The appointment system took account of patients’ needs.
  • There was effective leadership and a culture of continuous improvement.
  • Staff felt involved and 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 dental clinic had information governance arrangements.

Background

This report is about Bilston Street Dental Practice.

Bilston Street Dental Practice is in Sedgley, West Midlands and provides NHS and private dental care and treatment for adults and children.

There is level access to the practice for people who use wheelchairs and those with pushchairs. Car parking spaces, including dedicated parking for people with disabilities, are available near the practice. The practice has made reasonable adjustments to support patients with additional needs.

The dental team includes three dentists, five dental nurses, and two dental nurses also carry out receptionist duties. The practice has three treatment rooms.

During the inspection we spoke with one dentist, two dental nurses, one receptionist and the practice manager. We looked at practice policies and procedures and other records about how the service is managed.

The practice is open:

Monday to Thursday from 9am to 1pm and from 2pm to 5:30pm.

Fridays 9am to 12pm and 12.30 pm to 3 pm.

The practice had taken steps to improve environmental sustainability. For example, they were working towards a paperless practice.

During a check to make sure that the improvements required had been made

During our inspection of 9th May 2013 we found that the provider did not have an effective procedure in place to identify, receive, handle or respond to complaints from people using the service. The provider sent us an action plan setting out how they intended to put an effective procedure in place by 1st August 2013.

We did not speak to people because we were able to obtain the information needed without doing so.

During this review we found that there was an effective and accessible procedure in place that gave relevant information to people about how to complain. The procedure directed people to a nominated complaints manager and told them that they would receive a meaningful response in writing in a timely manner. The information for people was contained in a leaflet given to all people using the service and was also displayed in a prominent position in the reception area. This meant that people could be confident to complain and would receive a meaningful response.

9 May 2013

During a routine inspection

We spoke with four people who use the service, one dentist, two dental nurses and the receptionist.

This practice is located on two floors. There are two treatment rooms downstairs and one upstairs. The practice is accessible to people with reduced mobility.

The dental team consists of two dentists and five dental nurses, two of whom are mainly responsible for carrying out administrative work. The dentists and nurses are registered with the General Dental Council. The practice is open 7pm every Tuesday.

We found that people are informed of their treatment options and their consent for treatment is obtained. One person when asked if consent is sought and obtained said, "Yes, everytime."

Dental records provide good information about what treatment people receive and the frequency of follow up visits. The people we spoke with are happy with the treatment they receive. One person described it as, "Brilliant service."

We saw that the decontamination process for dental instruments met the required standards of safety and reduced the risk of cross infection.

There has been no recruitment of new staff for several years. The provider told us that should there be future recruitment the procedure would be designed to ensure that only suitable people would be employed.

People who use the service have do not have access to an effective complaints procedure and cannot be confident that any concerns they have will be acted upon.