The Care Quality Commission
  • Dentist
  • Dentist

Woodseats Dental Care

44 Holmhirst Road, Woodseats, Sheffield, South Yorkshire, S8 0GU (0114) 274 9083

Provided and run by:
Woodseats Dental Care

All Inspections

07/02/2022

During an inspection looking at part of the service

We undertook a desk based focussed follow up inspection of Woodseats Dental Care on 7 February 2022. 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 provider sent a package of evidence to us to support the improvements made.

The inspection was carried out by a CQC inspector.

We undertook a focused follow up inspection of Woodseats Dental Care on 26 October 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 Woodseats Dental Care on our website www.cqc.org.uk

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

As part of this inspection we asked:

  • Is it well-led?

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 to put right the shortfalls and had responded to the regulatory breach we found at our inspection on 26 October 2021.

Background

Woodseats Dental Care is in Sheffield and provides private dental care and treatment for adults and children. The practice holds a small NHS contract.

There is step access at the front of the practice. Access to the practice for people who use wheelchairs and those with pushchairs is via a side entrance. Car parking spaces are available near the practice on local side roads.

The dental team includes two dentists, three dental nurses, one dental hygienist and a receptionist. The team is supported by a practice manager and an operations manager. The practice has three treatment rooms.

The practice is open:

Monday 8:30am – 5pm (late opening alternate Mondays)

Tuesday and Wednesday 8:30am – 5pm

Thursday 8:30am – 5pm (open until 7pm for hygiene appointments)

Friday 8:30am – 3:30pm

Our key findings were:

  • The practice had quality assurance processes to encourage learning and continuous improvement.
  • Infection prevention and control procedures reflected published guidance.
  • The practice had procedures to reduce the risk of Legionella or other bacteria developing in water systems, in line with the risk assessment.

26/10/2021

During an inspection looking at part of the service

We undertook an announced focused inspection of Woodseats Dental Care on 26 October 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 by a specialist dental adviser.

We undertook a comprehensive inspection of Woodseats Dental Care on 28 June 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 Woodseats 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?

The provider had made insufficient improvements to put right the shortfalls and had not responded to the regulatory breach we found at our inspection on 28 June 2021.

Background

Woodseats Dental Care is in Sheffield and provides private dental care and treatment for adults and children. The practice holds a small NHS contract.

There is step access at the front of the practice. Access to the practice for people who use wheelchairs and those with pushchairs is via a side entrance. Car parking spaces are available near the practice on local side roads.

The dental team includes two dentists, three dental nurses, one dental hygienist and a receptionist. The team is supported by a practice manager and an operations manager. The practice has three treatment rooms.

The practice is owned by a partnership 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 Woodseats Dental Care is one of the principal dentists.

During the inspection we spoke with one of the principal dentists, one dental nurse, the practice manager and the operations manager. We looked at practice policies and procedures and other records about how the service is managed.

The practice is open:

Monday 8:30am – 5pm (late opening alternate Mondays)

Tuesday and Wednesday 8:30am – 5pm

Thursday 8:30am – 5pm (open until 7pm for hygiene appointments)

Friday 8:30am – 3:30pm

Our key findings were:

  • Systems to ensure infection prevention and control processes (IPC) were understood and were in line with recommended guidance were improved but required further action.
  • Safer sharps systems had been suitably risk assessed and were in line with current regulations.
  • The risk associated with the fire hazard in the cellar was being addressed.
  • Fire evacuation risks had been addressed.
  • Risk assessments for substances that are hazardous to health were updated and included safety data sheets.
  • Systems to oversee and accurately complete quality assurance audits for learning for continuous improvement were not fully effective.
  • Systems to ensure oversight of governance and compliance to support the team were not fully effective.
  • Systems were in place to record referrals to secondary care for follow up and audit.
  • All staff had undertaken Sepsis awareness training.

We identified regulations the provider was not meeting. 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.

28 June 2021

During an inspection looking at part of the service

We carried out this announced focused inspection on 28 June 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 asked the following three questions:

• 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 not providing well-led care in accordance with the relevant regulations.

Background

Woodseats Dental Care is in Sheffield and provides private dental care and treatment for adults and children. The practice holds a small NHS contract.

There is step access at the front of the practice. Access to the practice for people who use wheelchairs and those with pushchairs is via a side entrance. Car parking spaces are available near the practice on local side roads.

The dental team includes two dentists, three dental nurses, one dental hygienist and a receptionist. The team is supported by a practice manager and an operations manager. The practice has three treatment rooms.

The practice is owned by a partnership 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 Woodseats Dental Care is one of the principal dentists.

During the inspection we spoke with both dentists, one dental nurse and the operations manager. We looked at practice policies and procedures and other records about how the service is managed.

The practice is open:

Monday 8:30am – 5pm (late opening alternate Mondays)

Tuesday and Wednesday 8:30am – 5pm

Thursday 8:30am – 5pm (open until 7pm for hygiene appointments)

Friday 8:30am – 3:30pm

Our key findings were:

  • The practice appeared to be visibly clean and well-maintained.
  • Infection control procedures did not reflect published guidance.
  • Staff knew how to deal with emergencies. Appropriate medicines and life-saving equipment were available.
  • Systems to help the practice manage risk to patients and staff were not effective.
  • 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.
  • Improvements could be made to ensure effective leadership, oversight and management of systems and processes.
  • The practice culture of continuous improvement would benefit from effective auditing.
  • 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.

We identified regulations the provider was not meeting. 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 is not meeting are at the end of this report.

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

  • Take action to ensure all staff have received training in Sepsis awareness.

7 May 2013

During a routine inspection

We spoke with two people using the service and four members of staff on the day of the visit. People using the service that we spoke with were positive. Some comments included "I'm generally happy' and 'It's all been fine, I'm happy with it'. People that we spoke with told us that they felt their privacy and dignity was respected.

We found that care and treatment was planned and delivered in a way that ensured people's safety and welfare. When we spoke with people they confirmed that they had been able to make decisions around the treatment they received. A comment from one person we spoke with included 'Things are explained to me well by the dentist. There is enough information around'.

We found that there were effective systems in place to reduce the risk and spread of infection.

People were positive about the staff's abilities. One comment included 'The staff here are always nice and polite and the dentist I see is very good'. Staff told us that they felt supported in their roles.

We found that the provider had an effective system to regularly assess and monitor the quality of service that people received.