Parrys Lane Dental Practice

Updated 17 September 2015

The inspection was carried out on 30th June by a CQC inspector and a dental specialist advisor.

We asked the practice to provide a range of policies and procedures and other relevant information before the inspection. The information reviewed did not highlight any significant areas of risk across the five key question areas.

On the day of our inspection we looked at practice policies and protocols, dental patient records and other records relating to the management of the service. We spoke to practice owner who was also the provider; three dentists, four dental nurses, the practice manager and a receptionist. We also reviewed 16 comments cards completed by patients and spoke with two patients.

We informed NHS England area team / Healthwatch that we were inspecting the practice; however we did not receive any information of concern from them.

To get to the heart of patients’ experiences of care and treatment, we always ask the following five questions:

• Is it safe?
• Is it effective?
• Is it caring?
• Is it responsive to people’s needs?
• Is it well-led?

These questions therefore formed the framework for the areas we looked at during the inspection.

Updated 17 September 2015

We carried out an announced comprehensive inspection on 30 June 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.

Parrys Lane Dental Practice provides private general and cosmetic dentistry to people living in the Stoke Bishop area of Bristol. The practice has five dentists, an oral surgeon, a specialist endodontist, a specialist orthodontist, a specialist periodontist and a dentist who specialised in dental implants. The majority of the patients at the practice pay for their treatment and there is a range of systems available, such as Denplan, for patients to access.

There is a registered manager in place, 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.

We reviewed 16 comment cards that had been completed by patients and spoke with two patients. The comments made praised the treatment provided and the staff team .Patients said they received professional, caring and compassionate care in a very friendly and clean environment. They used comments such as ‘first class service’ and ‘excellent’ to describe their experience of the practice.

Our key findings were:

• There were effective systems in place to reduce the risk and spread of infection.
• We found all treatment rooms well planned and equipped, with good light and ventilation.
• There were systems in place to check all equipment had been serviced regularly, including the air compressor, autoclave, fire extinguishers, oxygen cylinder and the X-ray equipment.
• We found the dentists regularly assessed each patient’s gum health and took X-rays at appropriate intervals.
• The practice ensured staff maintained the necessary skills and competence to support the needs of patients.
• The practice kept up to date with current guidelines and was led by a proactive and forward thinking management team.
• During our visit we observed staff were kind, caring, competent and put patients at their ease.

We found two areas for improvement and these were allied to recruitment records and medicines storage and records of antibiotics and medicine used for conscious sedation. The provider and practice manager began to address these issues as they were raised during the inspection and confirmed to us that antibiotics were no longer dispensed by the practice.

In addition the provider should:

• Review its recruitment policy and procedures to ensure 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 conscious sedation, giving due regard to guidelines published by The Intercollegiate Advisory Committee on Sedation in Dentistry in the document 'Standards for Conscious Sedation in the Provision of Dental Care 2015.

You can see full details of the regulations not being met at the end of this report.