Archived: Tooth Booth White City

Updated 18 February 2016

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection was planned to check whether the practice was meeting the legal requirements and regulations associated with the Health and Social Care Act 2008.

The inspection was led by a CQC inspector who was accompanied by a CQC inspection manager,  a dentist specialist advisor and a dental nurse specialist advisor.

We informed the local NHS England area team and Healthwatch City of London on 28 October 2015 that we were inspecting the practice; however we did not receive any information of concern from them.

During the inspection we toured the premises, spoke with four dentists (two of which were the practice owners), two dental nurses a receptionist and the practice manager. To assess the quality of care provided we looked at practice policies and protocols and other records relating to the management of the service.

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 18 February 2016

We carried out an announced comprehensive inspection on 19 November 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 that this practice was providing safe care in accordance with the relevant regulations.

Are services effective?

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

Are services caring?

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

Are services responsive?

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

Are services well-led?

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

Background

Tooth Booth White City is situated in the White City area of London. It offers mainly NHS treatment to patients of all ages but also offers private dental treatments. The services provided include preventative advice and treatment, and routine restorative dental care. The practice has two surgeries, a decontamination room, a waiting area and a reception area. The practice is situated on the ground floor and there is level access throughout.

There are four dentists, four dental nurses two are qualified and two are student nurses (who also cover the reception when required) and a practice manager. The opening hours are Monday, Tuesday and Thursday 8am to 8pm, Wednesday and Friday 8-00am to 5-00pm, and Saturday mornings 8am to 1pm.

The practice owner 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.

During the inspection we spoke with three patients who used the service and reviewed 20 completed CQC comment cards. Patients we spoke with and those who completed comment cards were positive about the care they received and about the service provided.

Our key findings were:

• Staff reported incidents and kept records of these which were used for shared learning and improvement
• The practice was visibly clean and well maintained
• Patients’ needs were assessed and care and treatment was planned and delivered in line with current guidance.
• The practice had effective safeguarding processes and staff understood their responsibilities for safeguarding vulnerable adults and children.
• The practice placed an emphasis on the promotion of good oral health and provided regular oral health advice to patients.
• Staff had received training appropriate to their role and were supported in their continued professional development.
• Information from 20 completed comment cards gave us a positive picture of a friendly, caring, professional service.
• The practice took into account and comments, suggestions or complaints and used these to make improvements to the service.
• Staff were well supported and were committed to providing a quality service to their patients.