The Care Quality Commission
  • Dentist
  • Dentist

543 Dental Centre Limited

543-547 Anlaby Road, Hull, Humberside, HU3 6HP (01482) 565488

Provided and run by:
543 Dental Centre Limited

All Inspections

01/05/2024

During a routine inspection

We carried out this announced comprehensive inspection on 1 May 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 two Care Quality Commission (CQC) inspectors who were 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

543 Dental Centre is in Hull and provides NHS and private dental care and treatment for adults and children. The practice is a foundation training practice. Foundation training practices are selected and approved by the local deanery to provide support and supervision for newly qualified dentists.

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 at the rear of the practice. The practice has made reasonable adjustments to support patients with access requirements.

The dental team includes 14 dentists, 5 dental therapists, 21 qualified dental nurses, 3 trainee dental nurses, 10 receptionists and a practice manager. The practice has 15 treatment rooms.

During the inspection we spoke with 4 dentists, 2 qualified dental nurses and the practice manager. We looked at practice policies, procedures and other records to assess how the service is managed.

The practice is open:

Monday, Thursday and Friday 8am to 5pm

Tuesday and Wednesday 8am to 7pm

11 August 2016

During a routine inspection

We carried out an announced comprehensive inspection on 11 August 2016 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 after immediate action was taken as a result of this inspection. Detailed feedback was given to the practice during and following the inspection and this resulted in a comprehensive action plan being developed and acted upon within a short timescale to address the concerns.

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

543 Dental Centre Limited is situated in the city of Hull, Humberside. The practice offers NHS and private dental treatments including preventative advice, domiciliary home visits, dental implants, endodontics, cosmetic dental treatment, orthodontics, conscious sedation and oral surgery.

The practice has 13 surgeries over two floors, a decontamination room connected by a hatch to a sterilisation room, six waiting areas, one oral health prevention room; four areas for the four Orthopantomogram (OPT) machines, a reception area to welcome patients and a separate area for patients to make further appointments and patient toilets on each floor. All facilities are located over three floors of the premises. There are staff facilities and offices on the second floor of the premises.

There are two managing directors, 12 dentists (including a foundation dentist, the clinical director and the chairman and a specialist Oral surgeon), two dental hygiene therapists, 22 dental nurses (one of which is a trainee and one is the practice manager), a treatment co-ordinator, nine receptionists (one of which is the head receptionist and two are deputy practice managers), two infection control support staff, two admin staff and three domestic support assistants.

The practice is open between the hours of 8am and 7pm; opening and closing hours varying from day to day throughout the week and the practice is open 9am – 12 noon on a Saturday for private patients and dental emergencies.

The practice manager is the registered manager. A registered manager is a person who is registered with the Care Quality Commission 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.

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 appeared clean and hygienic.
  • 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 best practice 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.
  • The practice sought feedback from staff and patients about the services they provided.
  • There were clearly defined leadership roles within the practice.

We found areas of notable practice that we felt should be shared including establishing a charity to support each school in the Hull area which included working with local schools to raise awareness of oral health and provide preventative fluoride treatments. This was also being adapted throughout areas within the north of England.

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

  • Review the practice's recruitment policy to ensure procedures are suitable and the recruitment arrangements are in line with Schedule 3 of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014 to ensure necessary employment checks are in place for all staff and the required specified information in respect of persons employed by the practice is held.
  • Review the practice’s protocols for domiciliary visits; taking into account the 2009 guidelines published by British Society for Disability and Oral Health in the document “Guidelines for the Delivery of a Domiciliary Oral Healthcare Service”.
  • Review the safe storage of clinical waste and ensure this is locked and secured outside the premises.

21 February 2012

During a routine inspection

We spoke with patients while they were waiting to see the dentist and they told us they always signed consent forms for their treatment.

Patients told us they were fully informed about their treatment plans and that they had also signed these. They told us they were kept informed if the plan needed to change. They had not all received written confirmation of their treatment plan and one patient thought this was either because they didn't need any major treatment or because they had been informed verbally. One person told us they had received a computer print out of their treatment plan.

Patients said they had received an excellent service from their dentist. They said they had recommended the centre to other people.

One patient expressed the view that 543 Dental Centre was the best practice they had ever been to. They thought the surgery provided up-to-date information and practice and said they had been encouraged to improve their dental health. They gave the centre 'ten out of ten'.