The Care Quality Commission
  • Dentist
  • Dentist

Serenity Dental Practice

39 Heron Street, Rugeley, Staffordshire, WS15 2DZ (01889) 578225

Provided and run by:
Serenity Dental Practice Partnership

All Inspections

During an assessment under our new approach

We had previously undertaken a comprehensive inspection under our previous methodology of Serenity Dental Practice on 23 February 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 safe or well-led care and was in breach of regulation 12 and regulation 17 of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014. We undertook a follow up focused assessment on 1 July 2024. This assessment 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. We found the practice had met regulations. The practice had systems to manage risks. Recruitment procedures reflected current legislation. Infection control procedures followed published guidance. Patients’ care and treatment was provided in line with current guidance. Patients were treated with dignity and respect. At the time of our assessment, we found that patients could access care, support and treatment when required. There was effective leadership and a culture of continuous improvement. The practice is in Rugeley, Staffordshire and provides NHS and private dental care and treatment for adults and children. There is a portable ramp for 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 access requirements. The dental team included 2 dentists, 3 dental nurses, 1 dental hygienist 1 receptionist. The practice had 2 treatment rooms. During the assessment we spoke with 1 dentist, 1 dental nurse and the receptionist. We looked at practice policies, procedures and other records to assess how the service is managed.

23 February 2024

During a routine inspection

We carried out this announced comprehensive inspection on 23 February 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. Most appropriate medicines and life-saving equipment were available.
  • The practice did not have effective 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 staff recruitment procedures reflected current legislation. These were not applied consistently.
  • 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 a lack of effective leadership and processes for continuous improvement.
  • Staff felt involved, supported and worked as a team.
  • Shortfalls were found with complaints management to show they were dealt with positively and efficiently.
  • The practice had information governance arrangements.

Background

Serenity Dental Practice is in Rugeley, Staffordshire and provides NHS and private dental care and treatment for adults and children.

There is a portable ramp for 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 access requirements.

The dental team includes 2 dentists, 1 qualified dental nurse, 2 trainee dental nurses, 1 dental hygienist and a practice manager. The practice has 2 treatment rooms.

During the inspection we spoke with 1 dentist, the qualified dental nurse, 1 trainee dental nurse 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 to Thursday from 9am to 6pm

Friday from 9am to 5pm

We identified regulations the provider was/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 was not meeting are at the end of this report.

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

  • Develop systems to ensure an effective process is established for the on-going assessment, supervision and appraisal of all staff. Including the training, learning and development needs of individual staff members at appropriate intervals.

1 October 2018

During a routine inspection

We carried out this announced inspection on 1 October 2018 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 provider was meeting the legal requirements in the Health and Social Care Act 2008 and associated regulations. The inspection was led by a CQC inspector who was supported by a specialist dental adviser.

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 form the framework for the areas we look at during the inspection.

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

Grundy Dental practice is in Rugeley, Staffordshire and provides NHS and private treatment to adults and children.

A portable ramp is used to gain access to the practice for people who use wheelchairs and those with pushchairs. Car parking is available on the road at the front of the practice and on local side roads.

The dental team includes two dentists, three dental nurses, one of whom is the receptionist and one the practice manager. The practice has one treatment room in use and one which is out of commission.

The practice is owned by a partnership and as a condition of registration must have a person registered with the Care Quality Commission as the registered manager. Registered managers have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated regulations about how the practice is run. The registered manager at Grundy Dental practice was the senior partner.

On the day of inspection, we received feedback from 17 patients.

During the inspection we spoke with one dentist, one dental nurse and the receptionist. 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 5pm and Friday from 9am to 1.30pm. The practice is closed for lunch between the hours of 1pm to 2pm.

Our key findings were:

  • The practice appeared clean and well maintained. Practice staff completed daily cleaning with an external company providing a deep clean once per month. Records were kept of cleaning undertaken.
  • Staff knew how to deal with emergencies. Not all appropriate medicines and life-saving equipment were available, but these were ordered on the day of inspection.
  • The practice had suitable systems to help ensure patient safety. These included safeguarding processes, detailed risk assessments which were reviewed six-monthly and infection control procedures which reflected published guidance.
  • Some minor improvements were required to staff recruitment procedures. Changes were made to the recruitment policy on the day of inspection and proof of identification was provided for staff.
  • The clinical staff provided patients’ care and treatment in line with current guidelines. The practice was providing preventive care and supporting patients to ensure better oral health.
  • Staff treated patients with dignity and respect and took care to protect their privacy and personal information.
  • The appointment system met patients’ needs. Patients who were in dental pain could see a dentist within 24 hours of their contact with the practice.
  • The practice asked staff and patients for feedback about the services they provided. Staff felt involved and supported and worked well as a team.
  • The practice staff had suitable information governance arrangements.

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

  • Review the practice's responsibilities to take into account the needs of patients with disabilities and to comply with the requirements of the Equality Act 2010.