The Care Quality Commission
  • Dentist
  • Dentist

TSA Dental Care - West Bridgford

5 Davies Road, West Bridgford, Nottingham, Nottinghamshire, NG2 5JE (0115) 981 0012

Provided and run by:
TSA Care Limited

All Inspections

20 April 2023

During a routine inspection

We carried out this announced comprehensive inspection on 20 April 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.
  • 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.
  • Improvements should be made to record keeping in respect of patient care records to ensure guidance from the National Institute for Health and Care Excellence and the College of General Dentistry are followed.
  • 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.
  • Improvements to the system of audits carried out in the practice were needed, particularly in respect of clinical audits.
  • 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

TSA Dental Care is in West Bridgford area of Nottingham and provides NHS and 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. Car parking spaces, including dedicated parking for disabled people, are available near the practice. The practice has made reasonable adjustments to support patients with access requirements.

The dental team includes 2 dentists, 4 dental nurses including 2 trainee dental nurses, 2 dental therapists, 2 managers and a receptionist. The practice has 4 treatment rooms, all of which are on the ground floor.

During the inspection we spoke with 1 dentist, 3 dental nurses, 1 dental therapist and the 2 managers. We looked at practice policies, procedures and other records to assess how the service is managed.

The practice is open: Monday to Thursday from 8am to 6pm and Friday from 8am to 5:30pm

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

  • Take action to ensure the clinicians adopt an individual risk-based approach to patient recalls taking into account the National Institute for Health and Care Excellence guidelines, and ensure the clinicians take into account the guidance provided by the College of General Dentistry when completing dental care records.

  • Review the practice protocols regarding audits for prescribing of antibiotic medicines taking into account the guidance provided by the College of General Dentistry.

  • Take action to ensure audits of radiography and infection prevention and control are undertaken at regular intervals to improve the quality of the service. Practice should also ensure that, where appropriate, audits have documented learning points and the resulting improvements can be demonstrated.

20 May 2013

During a routine inspection

During our visit we spoke to three patients, two dentists working within the practice, three members of practice staff and the practice manager. Patients we spoke to were involved in their care and treatment options, felt it was delivered in a safe way and that the practice was clean and hygienic. One patient said, "I have been able to see the dentist at short notice. On one occasion my dentures were too tight and the dentist dealt with it straight away.' Another patient said, "I have been very happy with the treatment I have received. The staff have been very good.'

We observed members of staff interacting with patients in a courteous, polite and efficient manner. We also observed a dentist providing oral hygiene guidance.

We saw that the practice had implemented an infection control policy. At the time of our inspection the practice did not have a separate decontamination room, however plans were in place for an extension to build one.

Staff were encouraged to develop their skills and undertake appropriate training to help deliver safe and effective care to patients. We did receive feedback during our inspection that staff working within the practice had not had recent appraisals; however staff felt supported in their role and there were plans in place to update these.

We looked at audits completed by the provider to assess the quality of the service. Any patient comments which had been received were recorded by the practice.