Parkview Dental Centre

We carried out this announced comprehensive inspection on 14 December 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 mostly available. Records were not available to demonstrate that an emergency medicine, stored in the refrigerator was being stored within the correct temperature range.
• The practice had some systems to manage risks for patients, staff, equipment and the premises. We identified minor shortfalls in assessing and mitigating risks in relation to gas servicing and the portable appliance testing. Sharps risk assessment required updating to reflect the latest guidance.
• 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.
• Staff provided preventive care and supported patients to ensure better oral health.
• The appointment system worked efficiently to respond to patients’ needs.
• The frequency of appointments was agreed between the dentist and the patient, giving due regard to National Institute of Health and Care Excellence (NICE) guidelines.
• There was effective leadership and a culture of continuous improvement. There was scope to include antimicrobial prescribing and record keeping audits.
• Staff felt involved, supported and worked as a team.
• 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

Parkview Dental Centre is in Ipswich, Suffolk and provides 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 7 dentists, 1 visiting specialist, 12 dental nurses including 2 trainee dental nurses, 2 dental hygienists, 1 practice manager and 2 receptionists. The practice has 7 treatment rooms.

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

The practice is open:

Monday to Thursday from 8.30am to 5pm.

Friday from 8.30am to 3.30pm.

Saturday from 8.30am to 1pm.

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

• Take action to ensure audits of infection prevention and control, record keeping and antimicrobial prescribing are undertaken at regular intervals to improve the quality of the service. The practice should also ensure that, where appropriate, audits have documented learning points and the resulting improvements can be demonstrated.
• Implement an effective system for monitoring and recording the fridge temperature to ensure that medicines and dental care products are being stored in line with the manufacturer’s guidance.
• Improve the practice's systems for checking and monitoring equipment taking into account relevant guidance and ensure that all equipment is well maintained. Ensure all Gas boiler servicing is completed in line with manufacturers guidance and ensure appropriate risk assessment of all portable appliance equipment is completed and documented.