Bhandal Dental Practice - 74 Birmingham Road

We carried out this announced comprehensive inspection on 29 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. Local anaesthetic was not stored in blister packs. We were assured local anaesthetics would be kept in the sterile blister packs until use.
• Staff knew how to deal with medical emergencies. Not all appropriate life-saving equipment was available, missing items were ordered on the day of inspection.
• 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.
• 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

The provider is part of a corporate group, Bhandal Dental and has multiple practices, and this report is about 74 Birmingham Road.

74 Birmingham Road Dental Practice is in Rowley Regis 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. 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 6 dentists, including 1 orthodontic specialist, 8 qualified dental nurses, 4 trainee dental nurses, 3 dental therapists (including 2 orthodontic therapists), 2 practice managers and 3 receptionists. The practice has 8 treatment rooms.

During the inspection we spoke with 1 dentist, 3 dental nurses, 1 dental therapist, 1 receptionist and the practice manager. We looked at practice policies, procedures and other records to assess how the service is managed.

The practice is open: Monday to Friday from 8am to 6pm and Saturday from 8am to 1pm.

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

• Take action to ensure the availability of equipment in the practice to manage medical emergencies and implement an effective system of checks of medical emergency equipment and medicines taking into account the guidelines issued by the Resuscitation Council (UK) and the General Dental Council.

• Take action to implement any recommendations in the practice's fire alarm service and ensure ongoing fire safety management is effective.

• Implement practice protocols and procedures to ensure staff are up to date with their mandatory training and their continuing professional development.