Pateley Bridge Dental Practice Also known as Mr Nirav Thakker

We carried out this announced focused inspection on 27 June 2022 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 adviser.

To get to the heart of patients’ experiences of care and treatment, we usually ask five key questions, however due to the ongoing COVID-19 pandemic and to reduce time spent on site, only the following three 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 practice appeared to be visibly clean 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 staff awareness of sepsis and the oversight of prescriptions could be improved.
• The provider had systems to help them manage risk to patients and staff. We noted that required testing for the ultrasonic was not in place.
• The provider had safeguarding processes and staff knew their responsibilities for safeguarding vulnerable adults and children.
• The provider had staff recruitment procedures which reflected current legislation.
• 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 supported patients to ensure better oral health.
• The provider had effective leadership and a culture of continuous improvement.
• Staff felt involved and supported and worked as a team.
• The provider asked staff and patients for feedback about the services they provided.
• The provider had information governance arrangements.

Background

Pateley Bridge Dental Practice is in Pateley Bridge and provides dental care and treatment for adults and children.

There is level access to the practice via a platform lift for people who use wheelchairs and those with pushchairs. Car parking spaces are available outside the practice.

The dental team includes two dentists, two dental nurses, one dental hygienist and two receptionists. The practice has two treatment rooms.

During the inspection we spoke with the principal dentist, two dental nurses and the reception staff. We looked at practice policies and procedures and other records about how the service is managed.

The practice is open:

Monday, Tuesday and Thursday 9am to 5pm, Wednesday 10am to 6.30pm and Friday 9am to 4pm.

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

• Take action to ensure staff have received training in the recognition, diagnosis and early management of sepsis in line with National Institute for Health and Care Excellence guidance.
• Improve the process for tracking and monitoring the use of NHS prescription pads and the auditing of antimicrobial prescribing.