The Care Quality Commission
  • Dentist
  • Dentist

Archived: Lightwood Dental Care

8 Hartington Road, Buxton, Derbyshire, SK17 6JW (01298) 27077

Provided and run by:
Dr. Anthony Cowan

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

All Inspections

06/07/2020

During an inspection looking at part of the service

We undertook a follow up desk-based inspection of Lightwood Dental Care on 6 July 2020. This inspection was carried out to review in detail 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 adviser.

We undertook a comprehensive inspection of Lightwood Dental Care on 20 January 2020 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 regulations 17 and 18 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 Lightwood Dental Care on our website .

As part of this inspection we asked:

•Is it well-led?

When one or more of the five 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.

This desk-based inspection was undertaken during the Covid 19 pandemic. Due to the demands and constraints in place because of Covid 19 we reviewed the action plan and asked the provider to confirm compliance after a reasonable interval, focusing on the areas where improvement was required.

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 20 January 2020.

Background

Lightwood Dental Care is in the market town of Buxton in the peak district in Derbyshire and provides private dental care and treatment for adults and children.

There is level access into the rear of the practice for people who use wheelchairs and those with pushchairs. Car parking spaces, including dedicated parking for people with disabilities, are available near the practice.

The dental team includes two dentists, three dental hygienists, eight dental nurses, including one trainee dental nurse and the practice manager, and one receptionist. The practice has four treatment rooms, one of which is located on the ground floor. The practice has centralised decontamination facilities.

The practice is owned by an individual who is the principal dentist there. They have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated regulations about how the practice is run.

The practice is open: Monday from 8.30am to 5pm, Tuesday from 8.30am to 5pm, Wednesday from 8.30am to 7pm, Thursday from 8.30am to 8pm and Friday: from 8.30am to 1pm.

Our key findings were :

  • Following the inspection in January 2020 the provider had enrolled with an external quality assurance company to complete a systematic audit of systems and processes within the practice.
  • All staff had their up to date Hepatitis B immunisation status recorded with a certificate to evidence this.
  • All staff had completed training in the identification and management of sepsis.
  • A system for monitoring staff training had been introduced.
  • The five-year fixed wire electrical safety check had been completed in February 2020. The landlords annual gas safety certificate had been renewed on 27 January 2020.

20 January 2020

During a routine inspection

We carried out this announced inspection on 20 January 2020 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 provider 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 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 form the framework for the areas we look at during the inspection.

Our findings were:

Are services safe?

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

Are services effective?

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

Background

Lightwood Dental Care is in the market town of Buxton in the peak district in Derbyshire and provides private dental care and treatment for adults and children.

There is level access into the rear of the practice for people who use wheelchairs and those with pushchairs. Car parking spaces, including dedicated parking for people with disabilities, are available near the practice.

The dental team includes two dentists, three dental hygienists, eight dental nurses, including one trainee dental nurse and the practice manager, and one receptionist. The practice has four treatment rooms, one of which is located on the ground floor. The practice has centralised decontamination facilities.

The practice is owned by an individual who is the principal dentist there. They 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 collected 77 CQC comment cards filled in by patients and spoke with two other patients. Feedback received about the practice was positive.

During the inspection we spoke with one dentist, one dental hygienist, two dental nurses, one receptionist and the practice manager. We looked at practice policies and procedures and other records about how the service is managed.

The practice is open: Monday from 8.30am to 5pm, Tuesday from 8.30am to 5pm, Wednesday from 8.30am to 7pm, Thursday from 8.30am to 8pm and Friday: from 8.30am to 1pm.

Our key findings were:

  • The practice appeared to be visibly clean and well-maintained.
  • The provider had infection control procedures which reflected published guidance apart from infection prevention and control audits were not being completed.
  • Staff knew how to deal with emergencies. Appropriate medicines and life-saving equipment were available.
  • The provider had staff recruitment procedures which reflected current legislation.
  • Antimicrobial prescribing was not in line with nationally agreed guidance.
  • The clinical staff provided patients’ care and treatment in line with current guidelines.
  • Staff treated patients with dignity and respect and took care to protect their privacy and personal information.
  • Staff provided preventive care and supported patients to ensure better oral health.
  • The appointment system took account of patients’ needs.
  • There was room for improvement regarding the leadership and the culture of continuous improvement.
  • Staff felt involved and supported and worked as a team.
  • The provider asked staff and patients for feedback about the services they provided.
  • The provider dealt with complaints positively and efficiently.
  • Systems and processes for monitoring staff training and development could be improved.
  • The provider had information governance arrangements.

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
  • Ensure sufficient numbers of suitably qualified, competent, skilled and experienced persons are deployed to meet the fundamental standards of care and treatment.


Full details of the regulation the provider is not meeting are at the end of this report.

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

  • Improve and develop the practice's policies and procedures for obtaining patient consent to care and treatment to ensure they are in compliance with legislation, take into account relevant guidance, and staff follow them.
  • Improve and develop staff awareness of the requirements of the Mental Capacity Act 2005 and ensure all staff are aware of their responsibilities under the Act as it relates to their role.

6 January 2014

During a routine inspection

Patients we spoke with told us that they were always informed by the provider of all the treatment options available to them before they agreed to their specific treatment.

We reviewed three patient's treatment records which included an oral examination, the advice provided and the treatment options, if necessary, discussed.

We noted that the provider had effective systems in place to prevent the risk of cross contamination and staff were able to tell us what their role was in relation to infection prevention and control.

The provider had a comprehensive complaints system in place to ensure that patient's concerns and complaints were responded to in a timely manner, and lessons were learnt.