Archived: Portman Dental and Implant Clinic

Updated 6 August 2015

We inspected PSB Dental Care on the 29 June 2015. The inspection team consisted of a lead inspector and a specialist advisor.

We reviewed a range of information we held about the service for example PSB Dental Care website and notifications.

The methods that were used, for example talking to people using the service, interviewing staff, observations and review of documents.

During the inspection we toured the premises and spoke with two dentists, one dental nurse/receptionist, the practice manager and a compliance facilitator.

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 6 August 2015

We carried out an announced comprehensive inspection of PSB Dental Care on the 29 June 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 this practice was providing caring services in accordance with the relevant regulations.

Are services effective?

We found this practice was providing caring services in accordance with the relevant regulations.

Are services caring?

We found this practice was providing caring services in accordance with the relevant regulations.

Are services responsive?

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

Are services well-led?

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

PSB Dental Care provides dental services to private patients. The service is provided by six associate dentists who are supported by 11 dual role dental nurses/receptionists, a practice manager and two dental hygienists. The practice is located on the first floor of a modern multi-purpose business premises. There are four surgeries, a large reception area and two waiting rooms, with a patient toilet available. The practice is located centrally within Sheffield city centre close to local amenities and bus services. Opening hours are Monday to Friday 8.45am to 5.15pm.

One of the associate dentists 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.

On the day of inspection we spoke with four patients who used the service and reviewed 10 CQC comment cards that had been completed by patients on the day of the inspection. The patients we spoke with were very positive about the care and treatment they received at the practice. They told us they were involved in all aspects of their care and found the staff to be friendly, helpful, professional, caring and they were always treated with dignity and respect.

Our key findings were:

• The practice had systems to assess and manage risks to patients, including infection prevention and control, health and safety, safeguarding, recruitment and the management of medical emergencies.
• The practice carried out oral health assessments and planned treatment in line with current best practice guidance, for example from the Faculty of General Dental Practice (FGDP). Staff received training appropriate to their roles.
• Information of care and treatment options and support was available to patients, for example information of the cost of treatment.
• Patients told us they were treated with kindness and respect by staff. Staff ensured there was sufficient time to explain fully the care and treatment they were providing in a way patients understood. Patients commented they were always involved in their treatment and that it was fully explained to them.
• Patients were able to make routine and emergency appointments when needed. The practice had a complaints system in place and there was an openness and transparency in how these were dealt with.
• There were clearly defined leadership roles within the practice and staff told us they felt very supported and comfortable to raise concerns or make suggestions.

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

• Ensure the flooring is coved in the treatment rooms.
• Ensure the emergency drugs are accessible to staff but not unauthorised persons.
• Ensure audit results were fully recorded.
• Ensure staff receive annual appraisals.
• Ensure the Control of Substances Hazardous to Health COSHH file is up to date.
• Ensure any consent discussed with patients in line with the Mental Capacity Act (MCA) 2005 is recorded in patients care records.