Rosebrough Dental Practice

We carried out this announced focused inspection on 22 June 2022 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 usually ask five key questions, however due to the ongoing COVID-19 pandemic and to reduce time spent on site, only the following three questions were asked:

• Is it safe?

• Is it effective?

• Is it well-led?

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

Our findings were:

• The dental clinic was visibly clean and well-maintained.
• Safeguarding processes were in place and staff knew their responsibilities for safeguarding vulnerable adults and children.
• The clinical staff provided patients’ care and treatment in line with current guidelines.
• Staff provided preventive care and supported patients to ensure better oral health.
• The appointment system took account of patients’ needs.
• Staff felt involved and supported and worked as a team.
• Staff and patients were asked for feedback about the services provided.
• Staff knew how to deal with medical emergencies. Emergency equipment and medicines, however, were not available as described in the Resuscitation Council UK 2021 guidelines.
• The practice had infection control procedures which reflected published guidance; however, improvements were needed to ensure all recommended routine testing was carried out on the equipment.
• The provider had staff recruitment procedures which reflected current legislation. However, improvements were needed to ensure important checks were carried out at the time of recruitment.
• Improvements were needed to the systems used to help the provider manage risks to patients and staff.
• The provider had some information governance arrangements; however, improvements were needed in relation to the use of closed-circuit television (CCTV).

Background

Rosebrough Dental Practice is in Newcastle Upon Tyne and provides NHS and private dental care and treatment for adults and children.

The practice is located on the first floor, accessible only by stairs. It is close to local transport links and car parking spaces are available near the practice.

The dental team includes two dentists, two dental nurses, one trainee dental nurse, three dental therapists and one receptionist. The practice has three treatment rooms.

During the inspection we spoke with one dentist, one dental nurse and one dental therapist. We looked at practice policies and procedures and other records about how the service is managed.

The practice is open:

Monday to Thursday from 9.00am to 1.00pm and from 2.00pm to 5:30pm

Friday from 9.00am to 1.00pm and from 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.

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