02 July 2015
During a routine inspection
We carried out an announced comprehensive inspection on 02 July 2015 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.
West Wickham Dental Practice is located in the London Borough of Bromley. The premises consist of two treatment rooms, a dedicated decontamination room, waiting room with reception area and toilet.
The practice provides private dental services and treats both adults and children. The practice offers a range of dental services including routine examinations and treatment, veneers, crowns and bridges, and oral hygiene.
The staff structure of the practice is comprised of a principal dentist (who is also the owner), a hygienist, a dental nurse, and a trainee dental nurse. The dental nurses also act as receptionists. There is also a part-time operations manager.
The practice is open Monday, Tuesday, Thursday and Friday from 9.00am to 5.00pm, Wednesday from 9.00am to 7.00pm and on Saturday from 10.00am to 2.00pm.
This is a new practice which had registered with the Care Quality Commission (CQC) in September 2013. It has not previously been inspected. The principal dentist 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.
We carried out an announced, comprehensive inspection on 02 July 2015. The inspection took place over one day and was carried out by a CQC inspector and dentist specialist advisor.
Eight people provided feedback about the service. Patients we spoke with, and those who completed comment cards, were positive about the care they received from the practice. They were complimentary about the friendly and patient attitude of the dental staff.
Our key findings were:
- Patients’ needs were assessed and care was planned in line with best practice guidance such as from the National Institute for Health and Care Excellence (NICE).
- There were effective systems in place to reduce and minimise the risk and spread of infection.
- Equipment, such as the air compressor, autoclave (steriliser), fire extinguishers, and X-ray equipment had all been checked for effectiveness and had been regularly serviced.
- Patients indicated that they felt they were listened to and that they received good care from a helpful and patient practice team.
- The practice ensured staff maintained the necessary skills and competence to support the needs of patients.
- The practice had implemented clear procedures for managing comments, concerns or complaints.
- The principal dentist had a clear vision for the practice and staff told us they were well supported by the management team.
- Governance arrangements and audits were effective in improving the quality and safety of the services.
There was an area where the provider could make improvements and should:
- Review availability of medicines and equipment to manage medical emergencies giving due regard to guidelines issued by the British National Formulary, the Resuscitation Council (UK), and the General Dental Council (GDC) standards for the dental team.