Updated 19 December 2023
We carried out this announced comprehensive inspection on 28 November 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 some life-saving equipment were available.
- The practice had systems to manage risks for patients, staff, equipment and the premises. We identified minor shortfalls in assessing and mitigating risks in relation to prescription management and fire safety.
- Safeguarding processes were in place and staff knew their responsibilities for safeguarding vulnerable adults and children.
- The practice had staff recruitment procedures which mostly 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.
- Staff felt involved, supported and worked as a team.
- Staff and patients were asked for feedback about the services provided.
- The practice had information governance arrangements.
Background
Russell Street Dental Practice is in Leek, Staffordshire and provides NHS and private dental care and treatment for adults and children.
The services are provided by two CQC registered providers at this location. This report only relates to the provision of general dental care provided by Russell Street Dental Practice, (Provider Dr Samuel Stephen Chapman). An additional report is available in respect of the general dental care services which are registered under Russell Street Dental Practice, (Provider Russell Street Dental Practice Limited).
The dental practice is accessed via steps at the front entrance and there is step free access to the practice for people who use wheelchairs and those with pushchairs at the rear of the building. Car parking spaces, including dedicated parking for people with disabilities, are available near the practice. The practice has made reasonable adjustments to support patients with access requirements.
The dental team includes 2 dentists, 3 dental nurses and 1 dental hygienist. The practice has 2 treatment rooms.
During the inspection we spoke with 1 dentist, 3 dental nurses and the dental hygienist. We looked at practice policies, procedures and other records to assess how the service is managed.
The practice is open:
Monday from 8.30am to 5.30pm.
Tuesday from 10am to 7.30pm.
Wednesday from 8.30am to 5.30pm.
Thursday from 8.30am to 5.30pm.
Friday from 8.30am to 2pm.
There were areas where the provider could make improvements. They should:
- Take action to implement any recommendations in a practice fire safety risk assessment and ensure ongoing fire safety management is effective.
- Take action to ensure the availability of equipment in the practice to manage medical emergencies taking into account the guidelines issued by the Resuscitation Council (UK) and the General Dental Council. Implement an effective system for identifying, disposing and replenishing of out-of-date stock.
- Improve the security of NHS prescription pads and private prescriptions in the practice and ensure there are systems in place to track and monitor their use.