The Care Quality Commission
  • Dentist
  • Dentist

Horbury Dental Care

Vincent House, Queen Street, Horbury, Wakefield, West Yorkshire, WF4 6LP (01924) 211234

Provided and run by:
Horbury Dental Care Limited

All Inspections

12 April 2023

During a routine inspection

We carried out this announced comprehensive inspection on 12 April 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 second inspector and 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, supported 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

Horbury Dental Care is in Horbury, Wakefield and provides NHS and private dental care and treatment for adults and children.

There is step free access to the practice for people who use wheelchairs and those with pushchairs. The practice has a car park, including dedicated parking for disabled people. Additional parking is available near the practice. The practice has made reasonable adjustments to support patients with access requirements.

The dental team includes 15 dentists, one of whom is in the foundation year at the practice and is overseen by a lead dentist who is qualified to supervise dentists in their first year in practice, 18 dental nurses (of which 4 are trainees), 1 dental hygienist, 3 practice managers, 3 administrators and 9 receptionists. The practice has 12 treatment rooms.

During the inspection we spoke with 6 dentists including the foundation dentist, dental nurses, the dental hygienist, receptionists and the 3 practice managers. We looked at practice policies, procedures and other records to assess how the service is managed.

The practice is open:

Monday, Wednesday and Thursday 9am to 6pm

Tuesday 8am to 5pm

Friday 9am to 5pm

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

  • Improve the practice's protocols and procedures for the use of X-ray equipment in compliance with The Ionising Radiations Regulations 2017 and Ionising Radiation (Medical Exposure) Regulations 2017 and taking into account the guidance for Dental Practitioners on the Safe Use of X-ray Equipment and HPA-CRCE-010 Guidance on the Safe Use of Dental Cone Beam (Computed Tomography.

  • Improve the practice’s sharps procedures to ensure the practice is in compliance with the Health and Safety (Sharp Instruments in Healthcare) Regulations 2013.

  • Take action to review checking processes, and 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.

9 October 2013

During an inspection looking at part of the service

At the last inspection we found the provider did not have an effective system for handling and responding appropriately to complaints. We also found the complaints system was not brought to the attention of patients and persons acting on their behalf in a suitable manner and format.

We found the provider had addressed all the issues raised at the last inspection.

The practice now had clear complaints policies for both private and NHS patients. There was clear information within both policies regarding external agencies to contact, if patients remained unhappy with how the practice had dealt with their complaint.

We saw there was information on display about how to make a complaint, in both the NHS and private waiting areas. There were also complaints leaflets on display in both reception and waiting areas.

We asked for and received a summary of complaints patients had made and the provider's response. This showed the provider responded appropriately to complaints.

3 July 2013

During a routine inspection

We spoke with seven people who used the service. People told us they were given choices in relation to their treatment. One person said; '[Dentist] explains everything. I trust him.'

People we spoke with were complimentary about the staff. People's comments included:

'The staff are brilliant they do the job in an excellent and professional manner.'

'Care is brilliant. I wouldn't go anywhere else.'

'I'm pleased with the care I get.'

We looked at four patient records and saw evidence that people were involved with decisions about their care and treatment. We saw emergency medical equipment was accessible and that staff had received up to date basic life support training.

The three surgeries we looked at were clean and tidy. We saw that people were protected from the risk of infection because appropriate guidance had been followed.

We looked at four staff files and found all staff had an Enhanced Criminal Records Bureau (CRB) check in place to ensure that they were suitable to work with vulnerable adults and children.

The people we spoke with were not clear about how to make a complaint. We saw there was no up to date information displayed in the waiting areas about how people could make a complaint. We found that although the provider had a complaints system in place, people were not made aware of the complaints system.