The Care Quality Commission
  • Dentist
  • Dentist

Rushey Green Dental Practice

87A Rushey Green, Catford, London, SE6 4AF (020) 8314 5066

Provided and run by:
Splendent Care Limited

All Inspections

3 December 2021

During an inspection looking at part of the service

We carried out this announced inspection on 3 December 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 inspection was led by a Care Quality Commission (CQC) inspector who was supported by a specialist dental adviser.

To get to the heart of patients’ experiences of care and treatment, we usually ask five key questions, however due to the ongoing pandemic and to reduce time spent on site, only the following three questions were asked:

• Is it safe?

• Is it effective?

• 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 effective?

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

Are services well-led?

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

Background

Rushey Green Dental Practice is in Catford in the London Borough of Lewisham and provides NHS and 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. Car parking spaces are available for a fee in surrounding roads.

The dental team includes the principal dentist, two associate dentists, two dental nurses, five trainee dental nurses, five dental hygienists, three receptionists, a service manager and a practice manager. The practice has four treatment rooms.

The practice is owned by a company and as a condition of registration must have a person registered with the CQC as the registered manager. Registered managers have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated regulations about how the practice is run. The registered manager at Rushey Green Dental Practice is the service manager.

During the inspection we spoke with three dentists, two dental nurses and the practice manager. We looked at practice policies and procedures and other records about how the service is managed.

The practice is open:

Monday 8.30am to 7.00pm

Tuesday and Thursday 8.30am to 6.00pm

Wednesday 8.30am to 5.00pm

Saturday 8.30am to 1.30pm

Our key findings were:

  • The practice appeared to be visibly clean and well-maintained.
  • The provider had infection control procedures which reflected published guidance.
  • Staff knew how to deal with emergencies. Appropriate medicines and life-saving equipment were available.
  • The provider had systems to help them manage risk to patients and staff.
  • The provider had safeguarding processes and staff knew their responsibilities for safeguarding vulnerable adults and children.
  • The provider had staff recruitment procedures which reflected current legislation.
  • The clinical staff provided patients’ care and treatment in line with current guidelines.
  • Staff treated patients with dignity and respect and took care to protect their privacy and personal information.
  • Staff provided preventive care and supported patients to ensure better oral health.
  • The appointment system took account of patients’ needs.
  • The provider had effective leadership and a culture of continuous improvement.
  • 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.
  • The provider had information governance arrangements.

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

  • Implement audits for prescribing of antibiotic medicines taking into account the guidance provided by the Faculty of General Dental Practice.
  • Take action to ensure the practice stores records relating to people employed and the management of regulated activities in compliance with legislation and take into account current guidance

15 November 2013

During an inspection looking at part of the service

At our last inspection on 17 May 2013 we found that people were not fully protected from the risk of infection because there were not appropriate procedures and equipment in place to protect against the risk of cross infection. We also found that staff were not receiving regular training regarding infection control. At this inspection on 15 November 2013 we found that appropriate procedures were in place to check the decontamination equipment, damaged furniture and fixtures had been replaced, and all staff had received infection control training.

At our last inspection on 17 May 2013 we found that medication used for sedation was not stored securely. At this inspection on 15 November 2013 we found that all medication was securely stored and only staff that were trained to administer the medication had access to it.

17 May 2013

During a routine inspection

During our inspection we spoke with five patients. They all said they were happy with the quality of the services they received, and that staff were helpful and friendly, polite, provided them with appointments at convenient times and explained their treatment options. We found that people's needs were assessed and their care and treatment was planned and delivered in line with their individual care plans. Patients had made positive comments in feedback surveys, for example that 'staff explained everything to me well and kept me calm' and 'best dentist ever'.

Staff understood and followed the safeguarding policy.

There were effective systems in place to check on the quality of services and to ensure that when people made suggestions or raised issues staff responded and made changes to improve the quality of the environment and the patient experience.

During our inspection we found that patient and treatments areas were visually clean, but some daily checks on decontamination equipment were not recorded and not all the actions on the provider's infection control action plan had been completed, for example not all staff were appropriately trained in infection control and some equipment did not meet national good practice standards.

We also found that sedation drugs were not being kept safely or securely, and as required by national legislation and the practice's medicine policy.