Archived: Chesterfield Road Dental Practice

Updated 2 September 2016

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection was planned to check whether the practice was meeting the legal requirements and regulations associated with the Health and Social Care Act 2008.

The inspection was led by a CQC inspector who was supported by a specialist dental adviser.

During the inspection we received feedback from 38 patients. We also spoke with two dentists, one dental hygienist, three dental nurses and a receptionist. To assess the quality of care provided we looked at practice policies and protocols and other records relating to the management of the service.

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 therefore formed the framework for the areas we looked at during the inspection.

Updated 2 September 2016

We carried out an announced comprehensive inspection on 20 July 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

Chesterfield Road Dental Practice is situated in the area of Woodseats in Sheffield, South Yorkshire. It offers mainly NHS treatment to patients of all ages but also offers private dental treatments. The services include preventative advice and treatment, routine restorative dental care and dental implants.

The practice has four surgeries, an X-ray room, two decontamination rooms, two waiting areas and a reception area. The reception area, one waiting area and two surgeries are on the ground floor. The other two surgeries, X-ray room and waiting room are on the first floor. There are toilet facilities on the first floor of the premises. There is a decontamination room on the ground floor and the first floor of the premises.

There are six dentists (one of whom is on maternity leave), two dental hygienists, seven dental nurses (including a trainee), a reception manager and a practice manager.

The opening hours are Monday to Thursday from 9-00am to 5-15pm and Friday from 9-00am to 5-00pm.

One of the partners 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.

During the inspection we received feedback from 38 patients. The patients were positive about the care and treatment they received at the practice. Comments included that staff were friendly, helpful, respectful and polite. Patients also commented that their treatment was discussed clearly and why it was required.

Our key findings were:

• The practice was visibly clean and uncluttered.
• The practice had systems in place to assess and manage risks to patients and staff including infection prevention, control and health and safety and the management of medical emergencies.
• Staff were qualified and had received training appropriate to their roles.
• Dental care records were detailed and showed that treatment was planned in line with current best practice guidelines.
• Oral health advice and treatment were provided in-line with the ‘Delivering Better Oral Health’ toolkit (DBOH).
• Patients were involved in making decisions about their treatment and were given clear explanations about their proposed treatment including costs, benefits and risks.
• We observed that patients were treated with kindness and respect by staff.
• Staff ensured there was sufficient time to fully explain the care and treatment they were providing in a way patients understood.
• Patients were able to make routine and emergency appointments when needed.
• There were clearly defined leadership roles within the practice.
• The governance systems were effective.

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

• Review the availability of a policy relating to the use of Closed Circuit Television (CCTV).