The Care Quality Commission
  • Dentist
  • Dentist

Deepcar Dental Care

334 Manchester Road, Deepcar, Sheffield, South Yorkshire, S36 2RH (0114) 288 2121

Provided and run by:
Mr. Robin Phillips

All Inspections

6 July 2021

During an inspection looking at part of the service

We undertook a follow up focused inspection of Deepcar Dental Care on 6 July 2021. This inspection was carried out to review in detail the actions taken by the registered provider to improve the quality of care and to confirm that the practice was now meeting legal requirements.

The inspection was led by a CQC inspector who was supported remotely by a specialist dental adviser.

We undertook a comprehensive inspection of Deepcar Dental Care on 23 March 2021 under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. We found the registered provider was not providing well led care and was in breach of regulation 17 of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014. You can read our report of that inspection by selecting the 'all reports' link for Deepcar Dental Care on our website www.cqc.org.uk.

As part of this inspection we asked:

• Is it well-led?

When one or more of the five questions are not met, we require the service to make improvements and send us an action plan. We then inspect again after a reasonable interval, focusing on the areas where improvement was required.

Our findings were:

Are services well-led?

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

The provider had made improvements in relation to the regulatory breaches we found at our inspection on 23 March 2021.

Background

Deepcar Dental Care is in Deepcar, a village to the north west of Sheffield in South Yorkshire and provides private dental care and treatment for adults and children.

There is level access to the practice for people who use wheelchairs and those with pushchairs. There is roadside car parking outside the practice.

The dental team includes one dentist, two dental nurses and one receptionist. The practice has one treatment room.

The practice is owned by an individual who is the principal dentist there. They 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 one dentist, one dental nurse and one receptionist. We looked at practice policies and procedures and other records about how the service is managed.

The practice is open: Monday to Thursday: 9am to 1pm and 2pm to 5:45pm and Friday: 7.30am to 2.30pm.

Our key findings were:

  • The practice had produced policies for recruitment, safeguarding vulnerable adults, duty of candour and consent. These policies were not in place at out last inspection visit.
  • New Disclosure and Barring Service (DBS) certificates had been applied for or obtained for every member of staff.
  • Staff files contained the information required by Schedule 3 of the Health and Social Care Act 2008 Regulations.
  • All staff had completed basic life support training and a system had been established to monitor staff training and development.
  • A new Legionella risk assessment had been completed.
  • The five-year fixed wire safety check had been completed together with PAT testing of all electrical items in the practice.
  • A new ultrasonic cleaner had been purchased to reduce the amount of manual cleaning of dental instruments within the practice.

23 March 2021

During an inspection looking at part of the service

We carried out this announced focussed inspection on 23 March 2021 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 provider was meeting the legal requirements in the Health and Social Care Act 2008 and associated regulations. The trigger for this inspection visit was a monitoring call held between the provider and the Care Quality Commission (CQC) in February 2021. The inspection was led by a CQC inspector who was supported by a specialist dental adviser.

To get to the heart of patients’ experiences of care and treatment, we asked the following two questions:

• Is it safe?

• Is it well-led?

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

Our findings were:

Are services safe?

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

Are services well-led?

We found this practice was not providing well-led care in accordance with the relevant regulations.

Background

Deepcar Dental Care is in Deepcar, a village to the north west of Sheffield in South Yorkshire and provides private dental care and treatment for adults and children.

There is level access to the practice for people who use wheelchairs and those with pushchairs. There is roadside car parking outside the practice.

The dental team includes one dentist, two dental nurses and one receptionist. The practice has one treatment room.

The practice is owned by an individual who is the principal dentist there. They 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 one dentist, one dental nurse and one receptionist. We looked at practice policies and procedures and other records about how the service is managed.

The practice is open: Monday to Thursday: 9am to 1pm and 2pm to 5:45pm and Friday: 7.30am to 2.30pm.

Our key findings were:

  • The practice appeared to be visibly clean and well-maintained.
  • The provider had infection control procedures which mostly reflected published guidance.
  • Staff knew how to deal with emergencies. Appropriate medicines and life-saving equipment were available.
  • The provider had safeguarding processes and staff knew their responsibilities for safeguarding children. However, the provider did not have a safeguarding policy for vulnerable adults.
  • The provider’s staff recruitment procedures did not reflect current legislation.
  • Electrical safety checks at the practice were overdue.
  • The provider did not have oversight of the risks relating to Legionella, and the process needed to be reviewed and improved.
  • The provider did not have a Duty of Candour policy, and staff had not received training in the Duty of Candour.
  • The provider did not have a consent policy, and staff had not received training in the Mental Capacity Act (2005).
  • The provider did not have oversight of staff training.
  • Staff felt involved and supported and worked as a team.
  • The provider asked staff and patients for feedback about the services they provided.
  • The provider dealt with complaints positively and efficiently.

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.

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

  • Improve the practice’s infection control procedures and protocols taking into account the guidelines issued by the Department of Health in the Health Technical Memorandum 01-05: Decontamination in primary care dental practices, and having regard to The Health and Social Care Act 2008: ‘Code of Practice about the prevention and control of infections and related guidance’. In particular the completion of infection prevention and control audits on a six-monthly basis and reviewing the use of hand scrubbing instruments.

20 May 2013

During a routine inspection

We spoke privately with three people who were attending the practice. All three people told us that they were happy with all aspects of the service. People commented; 'they are competent and caring,' 'they are really good with children, friendly and welcoming' and 'I recommend them to lots of people. They know patients really well because it's small.'

People told us that the dentist explained all the procedures and treatments to them and respected their decisions about their treatment and care. Their comments included; 'the dentist always explains things in a way you can understand' and 'my treatment is always discussed with me. If you come for a check up and need more, he (the dentist) always discusses it with you. They give advice about how to look after your teeth as well.'

People spoken with said that they always found the practice clean, tidy and hygienic. We found people received care and treatment in a clean environment with infection control measures in place to minimise the risk of infection.

The provider had a satisfactory recruitment and selection procedure in place to ensure that staff were appropriately employed. Staff were provided with relevant training to maintain and update their skills and knowledge.

The provider had an appropriate system in place for gathering, recording and evaluating information about the quality and safety of care the service provides. People who used the service were asked for their views about their care and treatment.