The Care Quality Commission
  • Dentist
  • Dentist

Teeth Innovation Ltd Also known as Southgate Dentists

72 Thornton Road, Bradford, West Yorkshire, BD1 2DG (01274) 731818

Provided and run by:
Teeth Innovation Ltd

All Inspections

06/02/2024

During an inspection looking at part of the service

We undertook a follow up focused inspection of Teeth Innovation Ltd on 6 February 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 was supported by a specialist dental advisor.

We had previously undertaken a comprehensive inspection of Teeth Innovation Ltd on 30 May 2023 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 safe, effective or well-led care, and was in breach of regulations 12 and 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 Teeth Innovation Ltd dental practice 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. We then inspect again after a reasonable interval, focusing on the areas where improvement was required.

As part of this inspection we asked:

  • Is it safe?
  • Is it effective?
  • Is it well-led?

Our findings were:

Are services safe?

We found this practice was providing safe care in accordance with the relevant regulations.

The provider had made improvements in relation to the regulatory breaches we found at our inspection on 30 May 2023.

Are services effective?

We found this practice was providing effective care in accordance with the relevant regulations.

The provider had made improvements in relation to the regulatory breaches we found at our inspection on 30 May 2023.

Are services well-led?

The provider had made some improvements in relation to the regulatory breaches found at our inspection on 30 May 2023. However, improvements implemented were not fully effective and further improvements were required.

Background

Teeth Innovation Ltd is also known as Southgate Dentists. The practice is in Bradford city centre and provides private dental care and treatment for adults.

The practice is on the first floor which is accessed by stairs. Access is not available for people who use wheelchairs. Car parking spaces, including dedicated parking for disabled people, are available near the practice. The practice has made reasonable adjustments to support patients with specific needs.

The dental team includes 1 dentist, 2 dental nurses including 1 trainee, and a practice manager. The practice has 4 treatment rooms, but only 1 of these was in use.

During the inspection we spoke with the director of the service, the dentist, 2 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 and Tuesday from 8.30am to 7pm

Wednesday from 8.30am to 1pm

Thursday and Friday from 9am to 4.30pm

Clinics are held on Mondays, Tuesdays and by request on Wednesdays.

We identified regulations the provider was not meeting. 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.

There were areas where the provider could make improvements. They should:

  • Take action to ensure that all the staff understand the local process to escalate safeguarding concerns for children and vulnerable adults.

  • Take action to ensure staff have the awareness to recognise, manage, follow up and where required, refer service users who may have sepsis for specialist care.

  • Take action to improve the quality of audits of radiography and antimicrobial prescribing to improve the quality of the service. The practice should also ensure that, where appropriate, audits have documented learning points and the resulting improvements can be demonstrated.

30/05/2023

During an inspection looking at part of the service

We carried out this announced focused inspection on 30 May 2023 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, the following 3 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 clean, tidy and well-maintained.
  • The practice had infection control procedures which reflected published guidance.
  • Staff had not had sufficient training to deal with medical emergencies. Appropriate medicines and life-saving equipment were available.Medical emergency arrangements were not sufficiently risk assessed for the sedation service.
  • The practice did not have effective systems to manage risks for patients, staff, equipment and the premises.
  • Safeguarding processes and staff training were not up to date. Sufficient information was not available in relation to safeguarding vulnerable adults and children.
  • The practice had staff recruitment procedures which did not reflect current legislation.
  • Clinical staff provided patients’ care and treatment in line with current guidelines. The provision of conscious sedation was not in line with current guidance.
  • Patients were treated with dignity and respect. Staff took care to protect patients’ privacy and personal information.
  • Staff and patients were asked for feedback about the services provided.
  • The practice had information governance arrangements.

Background

Teeth Innovation Ltd is also known as Southgate Dentists. The practice is in Bradford city centre and provides private dental care and treatment for adults.

The practice is on the first floor which is accessed by stairs. Access is not available for people who use wheelchairs. Car parking spaces, including dedicated parking for disabled people, are available near the practice.

The dental team includes 1 dentist, 2 dental nurses including a trainee and a practice manager. The practice has 4 treatment rooms, but only 1 of these was in use.

During the inspection we spoke with the director of the service, the dentist, 2 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 and Tuesday 8.30am to 7pm

Wednesday 8.30am to 1pm

Thursday and Friday 9am to 4.30pm

Clinics are held on Monday and Tuesday mornings only.

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

  • Ensure care and treatment is provided in a safe way to patients.

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

Full details of the regulations the provider is not meeting are at the end of this report.

There were areas where the provider could make improvements. They should:

  • Improve the practice’s infection control procedures and protocols taking into account the guidelines issued by the Department of Health in the Health Technical Memorandum 01-05: Decontamination in primary care dental practices and having regard to The Health and Social Care Act 2008: ‘Code of Practice about the prevention and control of infections and related guidance’. In particular, ventilation and information on the workflow in the decontamination room.

15 December 2016

During a routine inspection

We carried out an announced comprehensive inspection on 15 December 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.

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

Teeth Innovation Ltd is situated in Bradford, West Yorkshire. The practice offers mainly private dental treatment to patients of all ages. The services include preventative advice and treatment and routine restorative dental care.

The practice has four surgeries, a decontamination room and a sterilisation room, a waiting area and a reception area. All of the facilities are on the second floor of a converted mill. A lift is planned to be installed in 2017 in order to enable access for wheelchair users and those with limited mobility.

There is one dentist, one dental nurse and a practice manager. The practice has been seeing patients for approximately two months.

The practice is currently only open on a Friday but is looking at opening more days once the practice becomes more established.

One of the directors 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.

During the inspection we received feedback from three patients. The patients were positive about the care and treatment they received at the practice. The patients commented the staff were kind and nice. They also commented it was easy to get an appointment.

Our key findings were:

  • The practice was visibly clean and tidy.
  • The practice had systems in place to assess and manage risks to patients and staff including health and safety and legionella.
  • Staff were qualified and had received training appropriate to their roles.
  • Patients were involved in making decisions about their treatment and were given clear explanations about their proposed treatment including costs, benefits and risks.
  • Dental care records showed treatment was planned in line with current best practice guidelines.
  • Staff ensured there was sufficient time to explain fully the care and treatment they were providing in a way patients understood.
  • The practice had a complaints system in place and there was an openness and transparency in how these were dealt with.
  • The governance systems were effective.
  • There were clearly defined leadership roles within the practice and staff told us they felt supported, appreciated and comfortable to raise concerns or make suggestions.
  • Some items of the medical emergency kit were missing.
  • Audit processes had not yet been implemented as the practice had only recently opened.

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

  • Review the practice’s arrangements for receiving and responding to patient safety alerts, recalls and rapid response reports issued from the Medicines and Healthcare products Regulatory Agency (MHRA) and through the Central Alerting System (CAS), as well as from other relevant bodies such as, Public Health England (PHE).
  • Review availability of medicines and equipment to manage medical emergencies giving due regard to guidelines issued by the Resuscitation Council (UK), and the General Dental Council (GDC) standards for the dental team.
  • Review the practice's recruitment policy and procedures to ensure practice specific Disclosure and Barring Service checks are requested and recorded suitably.
  • Review the practice’s audit protocols of various aspects of the service, such as radiography and dental care records at regular intervals to help improve the quality of service. Practice should also check all audits have documented learning points and the resulting improvements can be demonstrated.
  • Review the practice’s process for the grading of x-rays taking into account guidance from the National Radiological Protection Board.