The Care Quality Commission
  • Dentist
  • Dentist

Archived: J Tan Dental Surgery

Belgrave House, Stakes Hill Road, Waterlooville, Hampshire, PO7 7LT (023) 9225 2951

Provided and run by:
Mr. Aik Ban Jeffrey Tan

Important: The provider of this service changed. See new profile

All Inspections

16/08/2016

During a routine inspection

We carried out an announced comprehensive inspection on 16 August 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

Jeffrey Tan is a dental practice providing private treatment for both adults and children. The practice is based in a converted domestic dwelling in Waterlooville, a town situated north of Portsmouth, Hampshire.

The practice has two dental treatment rooms. One of which is based on the ground floor and a separate decontamination room used for cleaning, sterilising and packing dental instruments. The ground floor is accessible to wheelchair users, prams and patients with limited mobility via a ramp which staff make available when required.

The practice employs two dentists, one dental therapist, one hygienist and two dental nurses of which one is a trainee on a recognised course.

The practice’s opening hours are between 9am and 4pm on Monday, Wednesday and Friday and 9am and 5pm on Tuesday and Thursday.

There are arrangements in place to ensure patients receive urgent medical assistance when the practice is closed. This is provided by the principle dentist who is the practice owner.

Mr Jeffrey Tan is registered as an individual and is legally responsible for making sure that the practice meets the requirements relating to safety and quality of care, as specified in the regulations associated with the Health and Social Care Act 2008. 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 obtained the views of six patients on the day of our inspection.

Our key findings were:

  • We found that the practice ethos was to provide patient centred dental care in a relaxed and friendly environment.

  • Leadership was provided by the principle dentist who was the practice owner.

  • Staff had been trained to handle emergencies and appropriate medicines and life-saving equipment was readily available in accordance with current guidelines.

  • The practice appeared clean and well maintained.

  • There was appropriate equipment for staff to undertake their duties, and equipment was well maintained.

  • Infection control procedures were robust and the practice followed published guidance.

  • The practice owner acted as the safeguarding lead with effective processes in place for safeguarding adults and children living in vulnerable circumstances.

  • There was a process in place for the reporting and shared learning when untoward incidents occurred in the practice.

  • Dentists provided dental care in accordance with current professional and National Institute for Care Excellence (NICE) guidelines.

  • The service was aware of the needs of the local population and took these into account in how the practice was run.

  • Patients could access treatment and urgent and emergency care when required.

  • Staff received training appropriate to their roles and were supported in their continued professional development (CPD) by the practice owner.

  • Staff we spoke with felt very well supported by the practice owner and were committed to providing a quality service to their patients.

  • Information from 25 completed Care Quality Commission (CQC) comment cards gave us a positive picture of a friendly, caring, professional and high quality service.

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

  • Consider installing a hearing loop for patients with hearing difficulties.
  • Consider re-establishing the system for receiving national alerts such as those from Medicines and Healthcare Regulatory Agency (MHRA).
  • Consider providing the hygienist with the support of an appropriately trained member of the dental team on all occasions.
  • Consider securing the decontamination room.
  • Review the security of the window blind cords in the waiting room and decontamination room.
  • Review the practice recruitment policy to ensure that pre-employment checks are in accordance with Schedule 3 of the Health and Social Care Act.
  • Review fire safety monitoring in the practice to include checks of alarms, fire extinguishers, fire drills and fire risk assessment reviews.
  • Review the processes and procedures relating to interpreter services for patients whose first language is not English.

3 February 2015

During a routine inspection

The inspection took place on 3 February 2015 as part of our national programme of comprehensive inspections.

J Tan Dental Surgery provides private, general dental services to patients of all ages. The practice team consists of the principal dentist, who is the provider of this service, a part time dentist, a part time dental hygienist and a part time dental therapist. The clinical team are supported by three dental nurses who also share the role of practice receptionist.

The practice is located in a converted residential property and is spread across two floors. There are two treatment rooms, one on the ground floor and one on the first floor. The reception and waiting area are on the ground floor along with a dedicated decontamination room and patient toilet. The practice is accessible to patients who have mobility issues as treatment can be carried out in the ground floor treatment room.

During our inspection we spoke with three patients and reviewed 31 comments cards, which patients had completed in the week before our visit. All patients commented positively about the care and treatment they had received and the friendly, polite and professional staff. A number of patients commented on the discussions they had with the dentist about their care and treatment and how they felt listened to and made to feel relaxed.

Our key findings were:

  • The practice provided a clean well equipped environment
  • All staff were kind and caring in the way they dealt with patients
  • There was clear leadership of the practice and staff told us they felt well supported and comfortable to raise concerns or make suggestions.
  • The practice responded promptly to suggestions and comments made by patients.

We identified regulations that were not being met and the provider must:

  • Ensure all medicines and equipment recommended by the British National Formulary (BNF) and the Resuscitation Council (UK) are available and in date for use, in order to deal with any medical emergencies that may arise.
  • Ensure there are systems in place to effectively monitor the expiry dates of medicines, equipment and filling materials and dispose of them when they reach expiry date.
  • Ensure all policies, procedures and risk assessments are dated, reviewed and updated to reflect current practice.
  • Ensure there are systems in place to monitor the quality of the service and clinical practice.
  • Ensure appropriate guidance is followed in the assessment and monitoring of patients’ gingival (gum) health.

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

  • Ensure a risk assessment in relation to Legionella is carried out by an appropriately informed and trained person and that a written scheme is produced for controlling any identified risks.
  • Provide relevant staff with training and guidance in relation to the Mental Capacity Act 2005
  • The provider should ensure the equipment needed for testing the autoclave is always available and the required test monitored to ensure it is carried out.
  • Ensure the Health and Safety Executive are notified of the practice’s use of ionising radiation to conform with the Ionising Radiation Regulations 1999(IRR99)
  • Complete a risk assessment in relation to dental care professionals working without dental nurse support.

18 May 2012

During a routine inspection

During our inspection we spoke with three patients who used the service. They all said that they had attended the practice for a number of years. They told us they were satisfied with the care and treatment they received. Patients told they were fully involved in decisions and their confidentiality and dignity was always maintained and respected.

Patients told us that members of staff were friendly, approachable and professional. They told us that if they had any concerns or complaints they would be able to raise it with members of staff or the dentist.