Nothing But The Tooth

We carried out this announced focused inspection on 24 February 2022 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 adviser.

We usually ask five key questions, however due to the ongoing COVID-19 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:

• The dental clinic appeared to be visibly clean and well-maintained.
• The practice had infection control procedures which reflected published guidance.
• Staff knew how to deal with medical emergencies. Appropriate medicines and life-saving equipment were available.
• The practice had systems to help them manage risk to patients and staff.
• 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.
• The clinical staff provided patients’ care and treatment in line with current guidelines.
• Patients were treated with dignity and respect and staff 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.
• There was effective leadership and a culture of continuous improvement.
• Staff felt involved and 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 dental clinic had information governance arrangements.

Background

Nothing But The Tooth is in Sutton Coldfield 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. Car parking spaces, including dedicated parking for people with disabilities, are available near the practice. The practice has made some adjustments to support patients with additional needs.

The dental team includes five dentists, four dental nurses, one dental hygienist, two dental therapists, one receptionist, one patient care coordinator and one practice manager. The practice has three treatment rooms.

During the inspection we spoke with one dentist and four dental nurses. We looked at practice policies and procedures and other records about how the service is managed.

The practice is open:

Monday 8:00am – 5:00pm

Tuesday 8:00am – 7:30pm

Wednesday 8:00am – 5:00pm

Thursday 8:00am – 5:00pm

Friday 8:00am – 4:00pm

Saturday 9: 00am – 1:00pm (Once per month)

The practice had taken steps to improve environmental sustainability. For example, they were moving towards paperless environment.