• Dentist
  • Dentist

CTL Dental

59 Newbiggin, Richmond, North Yorkshire, DL10 4DX

Provided and run by:
CTLD Limited

All Inspections

11/10/2023

During a routine inspection

We carried out this announced comprehensive inspection on 11 October 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. Fire risks had not been assessed by a competent person.
  • 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. The use of closed-circuit television should be reviewed.
  • Staff provided preventive care and supported patients to ensure better oral health.
  • The appointment system worked efficiently to respond to patients’ needs.
  • 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

CTL Dental is in Richmond, North Yorkshire 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. There are 2 pay and display car parks near the practice and dedicated parking for disabled people is available directly outside the practice. The practice has made reasonable adjustments to support patients with access requirements.

The dental team includes 2 dentists and 5 dental nurses (1 supports the provider to manage the practice and 4 are trainees). The practice has 2 treatment rooms.

During the inspection we spoke with both dentists and 3 dental nurses. We looked at practice policies, procedures and other records to assess how the service is managed.

The practice is open:

Monday and Tuesday 10:30am to 7pm

Wednesday 7:30am to 2pm

Thursday 1:30pm to 7pm

Friday 7:30am to 3pm

Saturday One per month 7:30am to 1pm

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

  • Take action to appoint a competent person(s), to carry out any of the preventive and protective measures, taking into account The Regulatory Reform (Fire Safety) Order 2005.

  • Implement protocols for the use of closed-circuit television cameras taking into account the guidelines published by the Information Commissioner's Office.

  • Improve the practice’s sharps procedures to ensure the practice is in compliance with the Health and Safety (Sharp Instruments in Healthcare) Regulations 2013.

8 March 2016

During a routine inspection

We carried out an announced comprehensive inspection on 8 March 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

CTL dental practice is located in Richmond, North Yorkshire close to public transport links. The practice has one treatment room on the ground floor, a reception/waiting room, a decontamination room, patient toilets and a staff room and office located on the first floor.

There are two dentists, the owner and an associate, a dental hygiene therapist and three dental nurses (one of which is a trainee).

The practice offers private treatments including preventative advice, periodontal treatment and advanced restorative treatment. There are laser treatment for gum care and endodontic treatments available.

The practice is open various hours over a two week rotation:

Week 1

Monday 10:30 – 20:00, Tuesday 10:00 – 19:00, Wednesday Closed, Thursday 08:00 – 20:00, Friday 19:00 – 21:00, Saturday closed.

Week 2

Monday 10:30 – 20:00, Tuesday Closed, Wednesday 16:00 – 20:00, Thursday 08:00- 20:00, Friday closed, Saturday 08:00 – 13:00.

The principal dentist is registered with the Care Quality Commission (CQC) as an individual. 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.

On the day of inspection we received 75 CQC comment cards providing feedback. The patients who provided feedback were very positive about the care and attention to treatment they received at the practice. They told us they were involved in all aspects of their care and found the staff to treat them like they care, they had overcome dental phobias since attending the practice, all the staff are professional, exceptional, helpful, and gentle and they were treated with dignity and respect in a clean and tidy environment.

Our key findings were:

  • Staff had received safeguarding training, knew how to recognise signs of abuse and how to report it.
  • There were sufficient numbers of suitably qualified staff to meet the needs of patients.
  • Staff had been trained to manage medical emergencies.
  • Infection control procedures were in accordance with the published guidelines.
  • Patient care and treatment was planned and delivered in line with evidence based guidelines, best practice and current regulations.
  • 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 and respect and confidentiality was maintained.
  • The appointment system met patients’ needs.
  • There was a complaints system in place. Staff recorded complaints and cascaded learning to staff.
  • The governance systems were effective.
  • The practice sought feedback from staff and patients about the services they provided.