The Care Quality Commission
  • Dentist
  • Dentist

Peachcroft Dental

Suite 4, Peachcroft Shopping Centre, Peachcroft Road, Abingdon, OX14 2QA

Provided and run by:
AVL Smile Plus Ltd

All Inspections

16 August 2023

During an inspection looking at part of the service

We undertook a follow up focused inspection of Peachcroft Dental on 16 August 2023.

This inspection was carried out to review the actions taken by the registered provider to improve the quality of care and to confirm that the practice was now meeting legal requirements. The inspection was led by a CQC inspector who was supported by a specialist dental advisor.

We had previously undertaken a focused follow up inspection of Peachcroft Dental on 3 March 2023 under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions.

We found the registered provider was not providing well-led care and was in breach of regulation 17 of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014. You can read our report of that inspection by selecting the 'all reports' link for Peachcroft Dental on our website www.cqc.org.uk.

When 1 or more of the 5 questions are not met we require the service to make improvements and send us an action plan. We then inspect again after a reasonable interval, focusing on the area where improvement was required.

As part of this inspection, we asked:

• Is it well-led?

Our findings were:

Are services well-led?

We found this practice was providing well-led care in accordance with the relevant regulations. The provider had made improvements in relation to the regulatory breach we found at our inspection on 3 March 2023

Background

Peachcroft Dental is in Abingdon and provides NHS and private treatment to adults and children.

Car parking spaces, including spaces for disabled people, are available, in a public car park, at the front of the practice.

The practice is based on the first floor above a retail business. New patients are advised of the stairs when they make contact with the practice.

The dental team includes 3 dentists, one hygienist, one hygiene therapist, six dental nurses, two student nurses and a receptionist.

The practice has five treatment rooms of which four are in use.

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

The practice is open:

  • Monday to Friday 9.00am to 1.00pm and 2.00pm to 5.00pm.

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

  • Implement an effective recruitment procedure to ensure that enhanced Disclosure and barring service (DBS) checks are carried out for clinical staff.
  • Take action to ensure the clinicians take into account the guidance provided by the College of General Dentistry when completing dental care records.
  • Take action to ensure that, where appropriate, audits of the prescribing of antibiotic medicines and patient dental care records have documented learning points and the resulting improvements can be demonstrated.

3 March 2023

During an inspection looking at part of the service

We undertook a follow up focused inspection of Peachcroft Dental on 3 March 2023. This inspection was carried out to review the actions taken by the registered provider to improve the quality of care and to confirm that the practice was now meeting legal requirements.

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

We had previously undertaken a comprehensive inspection of Peachcroft Dental on 17 August 2022 under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions.

We found the registered provider was not providing well-led care and was in breach of regulation 17 of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014.

You can read our report of that inspection by selecting the 'all reports' link for Peachcroft Dental on our website www.cqc.org.uk .

When 1 or more of the 5 questions are not met, we require the service to make improvements and send us an action plan.

We then inspect again after a reasonable interval, focusing on the areas where improvement was required.

As part of this inspection we asked:

  • Is it safe?
  • Is it well-led?

Our findings were:

Are services safe?

We found this practice was providing safe care in accordance with the relevant regulations.

Are services well-led?

We found this practice was not providing well-led care in accordance with the relevant regulations.

The provider had made several improvements in relation to the regulatory breach we found at our inspection on 17 August 2022, but further improvements were needed.

Background

Peachcroft Dental is in Abingdon and provides NHS and private treatment to adults and children.

Car parking spaces, including spaces for blue badge holders, are available, in a public car park, at the front the practice.

The practice is based on the first floor above a retail business. New patients are advised of the stairs when they make contact with the practice.

The dental team includes three dentists, one hygienist, one hygiene therapist, six dental nurses, two student nurses and a receptionist.

The practice has five treatment rooms of which four are in use.

The practice is owned by an organisation and as a condition of registration must have a person registered with the Care Quality Commission as the registered manager. Registered managers 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 obtained the views of four patients.

During the inspection we spoke with the principal dentist, two dentists, three dental nurses, and the receptionist.

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

The practice is open:

  • Monday 9.00am to 1.00pm and 2.00pm to 5.00pm.
  • Tuesday 9.00am to 1.00pm and 2.00pm to 5.00pm
  • Wednesday 9.00am to 1.00pm and 2.00pm to 5.00pm
  • Thursday 9.00am to 1.00pm and 2.00pm to 5.00pm
  • Friday 9.00am to 1.00pm and 2.00pm to 5.00pm

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.

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

  • Take action to ensure that all clinical staff have adequate immunity for vaccine preventable infectious diseases.

  • Improve the practice protocols regarding auditing patient dental care records to check that necessary information is recorded.

  • Take action to ensure audits for prescribing of antibiotic medicines take into account the guidance provided by the College of General Dentistry.

17 August 2022

During a routine inspection

We carried out this unannounced comprehensive inspection on Peachcroft Dental 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 ask five key questions:

  • Is it safe?
  • Is it effective?
  • Is it caring?
  • Is it responsive?
  • Is it well-led?

These questions form the framework for the areas we look at during the inspection.

Our findings were:

  • The provider’s infection control procedures were not operated effectively.
  • Appropriate medicines and life-saving equipment were not available.
  • The provider did not operate effective systems to help them manage risk to patients and staff.
  • Staff knew their responsibilities for safeguarding vulnerable adults and children.
  • The provider’s staff recruitment procedures were not operated effectively.
  • Staff provided preventive care and supported patients to ensure better oral health.
  • The provider did not have effective leadership and a culture of continuous improvement.
  • The provider asked staff and patients for feedback about the services they provided.
  • The provider’s information governance arrangements were not operated effectively.

Background

The provider has four practices and this report is about Peachcroft Dental.

Peachcroft Dental is in Abingdon and provides NHS and private treatment to adults and children.

Car parking spaces, including spaces for blue badge holders, are available, in a public car park, at the front the practice.

The practice is based on the first floor above a retail business. New patients are advised of the stairs when they make contact with the practice.

The dental team includes three dentists, one hygienist, one hygiene therapist, six dental nurses, two student nurses and a receptionist.

The practice has five treatment rooms of which four are in use.

The practice is owned by an organisation and as a condition of registration must have a person registered with the Care Quality Commission as the registered manager. Registered managers 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 obtained the views of four patients.

During the inspection we spoke with the principal dentist, two dentists, three dental nurses, and the receptionist.

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

The practice is open:

Monday to Friday 9.00am to 1.00pm and 2.00pm to 5.00pm.

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

  • Ensure care and treatment is provided in a safe way to patients.
  • 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 support, training, professional development, supervision and appraisal 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.

Full details of the regulations the provider was not meeting are at the end of this report.

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

  • Implement audits for prescribing of antibiotic medicines taking into account the guidance provided by the College of General Dentistry.

The provider accepted the clinical and managerial issues raised and started to take action to address these.

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.