The Care Quality Commission
  • Dentist
  • Dentist

Buckshaw Village Dental Surgery

Buckshaw Village Health Centre, Unity Place, Buckshaw Village, Chorley, Lancashire, PR7 7HZ (01772) 451655

Provided and run by:
IDH Limited

All Inspections

14 August 2019

During a routine inspection

We carried out this announced inspection on 14 August 2019 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

Buckshaw Dental Practice is situated a purpose built in Buckshaw Village Chorley and provides predominantly NHS treatments to adults and children. There is a funding scheme for patients who wish to access private treatment.

The practice is on the first floor of Buckshaw Village Health Centre. There is lift access for people who use wheelchairs and those with pushchairs. Parking is available at the practice.

The dental team includes seven dentists (one of which provides dental implantology services), a dental hygiene therapist, three dental nurses. a practice manager and three receptionists. The practice has three treatment rooms.

The practice is owned by a company 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 Buckshaw Village Dental Practice is the practice manager.

On the day of inspection, we collected six CQC comment cards filled in by patients. Patients were positive about staff and the services the practice provided.

During the inspection we spoke with the dental hygiene therapist, two dental nurses, a receptionist, the practice manager, the organisation’s compliance lead and area manager. There were no dentists available on the day of our inspection. We looked at practice policies and procedures and other records about how the service is managed.

The practice is open:

Monday 8:30 to 5:15

Tuesday 8:30 to 6.30

Wednesday 8:30 to 5.15

Thursday 8:30 to 6:30

Friday 8:30 to 5:15

Saturday 8.30 to 1.30

Our key findings were:

  • The practice appeared clean, tidy and well maintained.
  • The provider had infection control procedures which reflected published guidance.
  • Staff knew how to deal with emergencies. Appropriate medicines and life-saving equipment were available.
  • The provider had systems to help them manage risk to patients and staff.
  • The provider had suitable safeguarding processes and staff knew their responsibilities for safeguarding vulnerable adults and children.
  • The provider had thorough staff recruitment procedures.
  • The clinical staff provided patients’ care and treatment in line with current guidelines.
  • Staff treated patients with dignity and respect and took care to protect their privacy and personal information.
  • Staff provided preventive care and supporting patients to ensure better oral health.
  • The appointment system took account of patients’ needs.
  • The provider had effective leadership and culture of continuous improvement.
  • Staff felt involved and supported and worked well as a team.
  • The provider asked staff and patients for feedback about the services they provided.
  • The provider dealt with complaints positively and efficiently.
  • The provider had suitable information governance arrangements.

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

  • Review the practice's protocols and procedures for the use of X-ray equipment in compliance with The Ionising Radiations Regulations 2017 and Ionising Radiation (Medical Exposure) Regulations 2017 and taking into account the guidance for Dental Practitioners on the Safe Use of X-ray Equipment.

11 October 2016

During a routine inspection

We carried out an announced comprehensive inspection on 11 October 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

Buckshaw Village Dental Practice is situated in a newly built modern health centre in Chorley. It provides mainly NHS dental treatments to patients of all ages but also offers private treatment options. The practice is located on the first floor of the building and access is available via stairs or a passenger lift. The premises are designed to support access for wheelchair users. There is disabled parking and adapted WC facilities. The practice has two surgeries, a decontamination suite and a patient waiting area.

There were two dentists, a visiting implantologist, three dental nurses, a trainee dental nurse, a dental hygiene therapist, a receptionist, a trainee receptionist and a practice manager.

The opening hours are Monday, Wednesday and Friday from 8.30am to 5.15pm, Tuesday and Thursday from 8.30am to 6.30pm and Saturday 9.00am to 1.00pm.

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.

Thirteen CQC comment cards were completed by patients as part of the inspection. The feedback was all positive in relation to treatment and care. Comments included that staff provided compassionate, friendly and professional care in an environment that was clean and welcoming. All discussions about treatment options, including the associated costs were explained thoroughly.

Our key findings were:

  • The practice was uncluttered, clean and hygienic.
  • Infection control procedures were conducted in accordance with published guidelines.
  • 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.
  • There were sufficient numbers of suitably qualified staff to meet the needs of patients.
  • 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, respect and confidentiality was maintained.
  • The appointment system met patient’s needs.
  • The practice had a complaints system in place.
  • The practice was well-led and staff felt involved, supported and worked well as a team.
  • Effective governance systems were established at the practice.
  • The practice sought feedback from staff and patients about the services provided.
  • There were clearly defined leadership roles within the practice.

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

  • Review and develop the local rules to ensure they are specific to the practice and ensure that recommendations from routine tests are implemented without delay.
  • Review and develop the process for monitoring referrals to other health professionals.

7 June 2013

During a routine inspection

Patients were well informed and able to express their views. Patients told us they understood the choices available to them and were involved in decisions about their care and treatment. We were told; 'Everyone is very kind.' And 'I have had to have a series of treatments but it has all been explained to me.'

Policies, good practice and staff training helped to ensure that patients received effective and safe treatment.

All areas of this this newly built modern dental practice were clean and hygienic. Staff had completed decontamination and infection control training. The practice had an infection control policy, plus regular audits took place. These measures helped to protect patients from risks associated with cross infection.

The recruitment and selection processes were not effective. The lack of thorough checks could have resulted in appointing someone of poor character or lacking the necessary attributes for the post.

Staff received a good level of support and training. Staff meetings took place. We were told 'Anything we bring up gets solved.' And 'Everything raised is taken seriously and sorted out.'

The practice had systems in place to monitor its own standards of service delivery and to gain feedback from patients. This meant the practice was able to identify, monitor and manage risks.