Hawthorn Dental Practice Limited

We carried out this announced comprehensive inspection on 21 March 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 available.
• The practice had systems to manage risks for patients, staff, equipment and the premises.
• 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.
• Staff felt involved 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

Hawthorn Dental Practice Limited is in Epping, Essex and provides private dental care and treatment for adults and children.

The practice is located across two sites, either side of the High Street in Epping. There is step free access to the main practice for people who use wheelchairs and those with pushchairs. The additional site which includes 2 treatment rooms, a decontamination room, staff room, reception and a cone-beam computed tomography (CBCT) room, is accessed via a staircase. Our inspection included a review of both locations. 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 8 dentists including 3 specialists, 5 dental nurses including 1 head nurse and 3 trainee dental nurses, 2 dental hygienists, 1 compliance support manager and 3 receptionists. The practice has 7 treatment rooms, 5 at the main site and 2 at the additional site.

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

The practice is open:

Monday, Wednesday and Thursday from 8.30am to 5pm.

Tuesday from 8.30am to 7.30pm.

Friday from 8.30am to 3pm.

Saturday from 9am to 1.30pm (1st and 3rd Saturday of the month).

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

• Take action to ensure that all clinical staff have adequate immunity for vaccine preventable infectious diseases.