Rozsa Dental Clinic

We carried out this announced focused inspection on 2 March 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 key findings were:

• The practice was clean and well-maintained.
• The provider’s infection control procedures were not operated effectively
• Appropriate life-saving equipment was not available.
• The provider did not operate effective systems to help them manage risk to patients and staff.
• The provider had safeguarding processes and staff knew their responsibilities for safeguarding vulnerable adults and children.
• The provider’s staff recruitment procedures were not operated effectively.
• The clinician provided patients’ care and treatment in line with current guidelines.
• Staff provided preventive care and supported patients to ensure better oral health.
• The provider did not have a culture of continuous improvement.
• The provider’s information governance arrangements were not operated effectively.

Background

Rozsa Dental Clinic is in Henley-on-Thames and provides private dental care and treatment for adults and children.

There is level access to the practice for people who use wheelchairs and those with pushchairs. On street car parking, including dedicated parking for disabled people, is available near the practice.

The dental team includes two dentists, two specialists, one hygienist, one sedationist, one dental nurse, one trainee dental nurse and a receptionist. The practice has one treatment room.

During the inspection we spoke with the principal dentist, a dental nurse and a receptionist.

We looked at practice policies and procedures and other records about how the service is managed.

The practice is open:

• Tuesday 8.30am to 9.30pm
• Wednesday 9am to 6pm
• Thursday 10am to 8pm
• Friday 9am to 6pm
• Saturday 9am to 6pm
• Sunday 9am to 6pm

We identified regulations the provider was not complying with. They must:

• Establish effective systems and processes to ensure good governance in accordance with the fundamental standards of care.
  
• Ensure persons employed in the provision of the regulated activity receive the appropriate training necessary to enable them to carry out the duties.
  
• Ensure recruitment procedures are established and operated effectively to ensure only fit and proper persons are employed and specified information is available regarding each person employed.

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

• Implement a system to ensure the testing of fire detection equipment takes into account current national guidance and ensure that all equipment is well maintained.
• Implement protocols regarding the prescribing and recording of antibiotic medicines taking into account guidance provided by the Faculty of General Dental Practice in respect of antimicrobial prescribing.

Where evidence is sent that shows the relevant issues have been acted on, we have stated this in our report but we cannot say that the practice is compliant for that key question as this would not be an accurate reflection of what was found on the day of our inspection.