The Buckley Practice

Updated 11 February 2016

We carried out an announced comprehensive inspection on 23 October 2015. The inspection was led by a CQC inspector. They were accompanied by a dental specialist advisor.

The practice sent us their statement of purpose and a summary of complaints they had received in the last 12 months. We also reviewed further information on the day of the inspection.

We received 40 CQC comment cards completed by patients and spoke with five patients. We also spoke with five members of staff including the principal dentist. We reviewed the policies, toured the premises and examined the cleaning and decontamination of dental equipment.

To get to the heart of patients’ experiences of care and treatment, we always ask the following five questions:

• Is it safe?
• Is it effective?
• Is it caring?
• Is it responsive to people’s needs?
• Is it well-led?

These questions therefore formed the framework for the areas we looked at during the inspection.

Updated 11 February 2016

We carried out an announced comprehensive inspection on 23 October 2015to ask the practice the following key questions: Are services safe, effective, caring, responsive and well-led?

Our findings were:

Are services safe?

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

Are services effective?

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

Are services caring?

We found that this practice was providing caring services in accordance with the relevant regulations.

Are services responsive?

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

Are services well-led?

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

Background

Buckley Dental Practice is located in the London Borough of Bromley and provides NHS and private dental services. The demographics of the practice is mixture of families and older people.

The staff structure of the practice comprises of a principal dentist, five dentists, four hygienists, four dental nurses, four receptionists and a practice manager.

Facilities within the practice include five treatment rooms, a dedicated decontamination room, OPG X-ray room (An OPG (or orthopantomogram) is a rotational panoramic dental radiograph that allows the clinician to view the upper and lower jaws and teeth. It is normally a 2-dimensional representation of these) and a reception area.

The principal dentist was the registered manager. A registered manager is a person who is registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the practice is run.

Before the inspection we sent Care Quality Commission (CQC) comment cards to the practice for patients to complete to tell us about their experience of the practice. We received 40 completed cards and spoke with five patients on the day of the inspection .The feedback we received for patients gave a positive view of the services the practice provides. All of the patients commented that the quality of care they received was good.

The inspection took place over one day and was carried out by a lead inspector and a dental specialist adviser.

Our key findings were:

• There were effective processes in place to reduce and minimise the risk and spread of infection.
• Patients’ needs were assessed and care was planned in line with best practice guidance such as from the National Institute for Health and Care Excellence (NICE).
• Patients were involved in their care and treatment planning.
• There was appropriate equipment for staff to undertake their duties and equipment was well maintained.
• Patients told us that staff were caring and treated them with dignity and respect.
• There were processes in place for patients to give their comments and feedback about the service including making complaints and compliments.
• Governance arrangements were in place and there was a clear vision for the smooth running of the practice.

There were areas where the provider could make improvements and should:

Review recruitment procedures to ensure accurate, complete and detailed records are maintained for all staff.