Carlton House Dental Practice

We carried out this announced comprehensive inspection on 1 March 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, 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. Monitoring of fire risk management procedures was not always consistent or effective. Not all staff had completed fire safety training.
• 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

The provider is part of a corporate group Tri Dental which has 7 practices, and this report is about Carlton House Dental Practice.

Carlton House Dental Practice is in Barwell in Leicestershire and provides private dental care and treatment for adults and children.

There is step free access to the practice for people who use wheelchairs and those with pushchairs. Car parking spaces are available near the practice. Dedicated car parking spaces for people with disabilities or reduced mobility are not available. The practice has made reasonable adjustments to support patients with access requirements.

The dental team includes 2 dentists, 5 dental nurses, 1 trainee dental nurse, 1 dental hygienist, 1 dental therapist, 1 practice manager and 2 receptionists. The practice has 3 treatment rooms.

During the inspection we spoke with 2 dentists, 3 dental nurses, 1 dental therapist, 2 receptionists, the practice manager and the provider. We looked at practice policies, procedures and other records to assess how the service is managed.

The practice is open:

Monday, Tuesday and Friday 9am to 5.15pm

Wednesday and Thursday 9am to 8pm

Saturdays 8.30am to 12pm for hygienist appointments

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

• Take action to implement any recommendations in the practice's fire safety risk assessment. Ensure all staff have completed fire safety training and awareness and that ongoing fire safety management checks are recorded and monitored effectively.
• Improve the practice's protocols for medicines management and ensure all medicines are stored and dispensed of safely and securely.