The Care Quality Commission
  • Dentist
  • Dentist

Archived: Wilton Dental Practice

16 North Street, Wilton, Salisbury, Wiltshire, SP2 0HE (01722) 742100

Provided and run by:
Dr. Mehdi Alizadeh

Important: The provider of this service changed. See new profile

All Inspections

1 December 2015

During a routine inspection

We carried out an announced comprehensive inspection on 1 December 2015 to ask the practice the following key questions; Are services safe, effective, caring, responsive and well-led?

Our findings were:

Are services safe?

We found this practice was not providing safe care in accordance with the relevant regulations.

Are services effective?

We found this practice was not providing effective care in accordance with the relevant regulations

Are services caring?

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

Are services responsive?

We found this practice was providing responsive 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

Wilton Dental Practice is a dental practice close to the main square in Wilton and it has three treatment rooms. The practice caters for both adults and children and provides general dentistry and some cosmetic dentistry for a mix of approximately 8,000, with 50%NHS and 50% private patients. The practice has three dental treatment rooms, a reception area and two waiting areas. There are facilities on the ground floor enabling access for patients with limited mobility. The practice offers the following services:

  • Cosmetic Dentistry
  • General Dentistry Treatments – including extractions
  • Root canal treatments
  • Oral Health promotion

The practice has two dentists and two trainee dental nurses who are supported by one receptionist. The practice opening hours are 08.45am –1.00pm and 2.00pm - 5:00pm Monday to Thursday and 08.45am –1.00pm on Friday. For out of hours service patients are directed to ring the 111 service.

The principal dentist is registered with the Care Quality Commission (CQC) as an individual registered provider. 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.

We carried out an announced comprehensive inspection on 1 December 2015 because we had received information from NHS England regarding concerns about the service provided at this practice. The inspection took place over one day and was carried out by a lead inspector and a specialist dental advisor.

We obtained feedback about the practice from six completed Care Quality Commission comment cards and speaking with three patients during the inspection. The patients we spoke with were complimentary about the service. They told us they found the practice and staff provided good care; were friendly and welcoming and all patients felt they were treated with dignity and respect. Two patients told us if they had to wait for their appointments they were kept informed during the period of waiting.

Our key findings were:

  • The patients we spoke with indicated they were treated with kindness and respect by staff. We observed good communication with patients and their families. Patients reported good access to the practice with emergency appointments available within 24 -48 hours.
  • There were systems to check equipment had been serviced regularly, including the compressor, autoclave, fire extinguishers, oxygen cylinder and the X-ray equipment.
  • The practice was not meeting the Essential Quality Requirements of the Department of Health guidance, namely 'Health Technical Memorandum 01-05 - Decontamination in primary care dental practices (HTM 01-05)' national guidance for infection prevention control in dental practices. There was no clearly designated lead professional for infection prevention and control.
  • Dental nurses working in the practice lacked understanding and practical application of the minimum requirements of HTM 01-05 and the lead person for infection control had not raised with the provider or addressed the environmental shortfalls in meeting the minimum standards.
  • The management of sharps was not in accordance with the current EU regulations with respect to safer sharps (Health and Safety Sharp instruments in Healthcare Regulations 2013).
  • There were no systems in place to learn and improve from incidents or healthcare alerts.
  • There was limited evidence of recent audits being undertaken at the dental practice.
  • Appropriate recruitment processes and checks were not undertaken in line with the relevant recruitment regulations and guidance for the protection of patients.

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

  • Ensure the practice fully meets the Essential Quality Requirements of the Department of Health guidance, namely 'Health Technical Memorandum 01-05 - Decontamination in primary care dental practices (HTM 01-05)' as soon as is practically possible.
  • Ensure dental sharps are managed in accordance with the current Health and Safety Sharp instruments in Healthcare Regulations 2013 and staff are appropriately trained.
  • Provide training and competency assessment for staff about infection prevention and control and ensure all processes adhere to the national guidance HTM 01-05.
  • Implement a system whereby all accidents and incidents, including RIDDOR incidents, are appropriately reported and managed for the safety of patients and staff. Plan and implement a system of clinical audits as soon as practically possible for infection control, dental X-rays, clinical record keeping and other such audits as expected by the General Dental Council standards and as advised by FGDP.
  • Provide clear leadership, management and governance of the practice and assess service delivery to assure the delivery of quality, patient centred treatment and care, supported by learning and innovation, and promote an open and fair culture.
  • Ensure records of identification checks are included in staff recruitment files and use current DBS checks.
  • Review staff awareness of the requirements of the Mental Capacity Act (MCA) 2005 and ensure all staff are aware of their responsibilities under the Act as it relates to their role.
  • Review the practice's protocols for completion of dental care records giving due regard to guidance provided by the Faculty of General Dental Practice regarding clinical examinations and record keeping.

1 December 2015

During a routine inspection

We carried out an announced comprehensive inspection on 1 December 2015 to ask the practice the following key questions; Are services safe, effective, caring, responsive and well-led?

Our findings were:

Are services safe?

We found this practice was not providing safe care in accordance with the relevant regulations.

Are services effective?

We found this practice was not providing effective care in accordance with the relevant regulations

Are services caring?

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

Are services responsive?

We found this practice was providing responsive 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

Wilton Dental Practice is a dental practice close to the main square in Wilton and it has three treatment rooms. The practice caters for both adults and children and provides general dentistry and some cosmetic dentistry for a mix of approximately 8,000, with 50%NHS and 50% private patients. The practice has three dental treatment rooms, a reception area and two waiting areas. There are facilities on the ground floor enabling access for patients with limited mobility. The practice offers the following services:

  • Cosmetic Dentistry
  • General Dentistry Treatments – including extractions
  • Root canal treatments
  • Oral Health promotion

The practice has two dentists and two trainee dental nurses who are supported by one receptionist. The practice opening hours are 08.45am –1.00pm and 2.00pm - 5:00pm Monday to Thursday and 08.45am –1.00pm on Friday. For out of hours service patients are directed to ring the 111 service.

The principal dentist is registered with the Care Quality Commission (CQC) as an individual registered provider. 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.

We carried out an announced comprehensive inspection on 1 December 2015 because we had received information from NHS England regarding concerns about the service provided at this practice. The inspection took place over one day and was carried out by a lead inspector and a specialist dental advisor.

We obtained feedback about the practice from six completed Care Quality Commission comment cards and speaking with three patients during the inspection. The patients we spoke with were complimentary about the service. They told us they found the practice and staff provided good care; were friendly and welcoming and all patients felt they were treated with dignity and respect. Two patients told us if they had to wait for their appointments they were kept informed during the period of waiting.

Our key findings were:

  • The patients we spoke with indicated they were treated with kindness and respect by staff. We observed good communication with patients and their families. Patients reported good access to the practice with emergency appointments available within 24 -48 hours.
  • There were systems to check equipment had been serviced regularly, including the compressor, autoclave, fire extinguishers, oxygen cylinder and the X-ray equipment.
  • The practice was not meeting the Essential Quality Requirements of the Department of Health guidance, namely 'Health Technical Memorandum 01-05 - Decontamination in primary care dental practices (HTM 01-05)' national guidance for infection prevention control in dental practices. There was no clearly designated lead professional for infection prevention and control.
  • Dental nurses working in the practice lacked understanding and practical application of the minimum requirements of HTM 01-05 and the lead person for infection control had not raised with the provider or addressed the environmental shortfalls in meeting the minimum standards.
  • The management of sharps was not in accordance with the current EU regulations with respect to safer sharps (Health and Safety Sharp instruments in Healthcare Regulations 2013).
  • There were no systems in place to learn and improve from incidents or healthcare alerts.
  • There was limited evidence of recent audits being undertaken at the dental practice.
  • Appropriate recruitment processes and checks were not undertaken in line with the relevant recruitment regulations and guidance for the protection of patients.

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

  • Ensure the practice fully meets the Essential Quality Requirements of the Department of Health guidance, namely 'Health Technical Memorandum 01-05 - Decontamination in primary care dental practices (HTM 01-05)' as soon as is practically possible.
  • Ensure dental sharps are managed in accordance with the current Health and Safety Sharp instruments in Healthcare Regulations 2013 and staff are appropriately trained.
  • Provide training and competency assessment for staff about infection prevention and control and ensure all processes adhere to the national guidance HTM 01-05.
  • Implement a system whereby all accidents and incidents, including RIDDOR incidents, are appropriately reported and managed for the safety of patients and staff. Plan and implement a system of clinical audits as soon as practically possible for infection control, dental X-rays, clinical record keeping and other such audits as expected by the General Dental Council standards and as advised by FGDP.
  • Provide clear leadership, management and governance of the practice and assess service delivery to assure the delivery of quality, patient centred treatment and care, supported by learning and innovation, and promote an open and fair culture.
  • Ensure records of identification checks are included in staff recruitment files and use current DBS checks.
  • Review staff awareness of the requirements of the Mental Capacity Act (MCA) 2005 and ensure all staff are aware of their responsibilities under the Act as it relates to their role.
  • Review the practice's protocols for completion of dental care records giving due regard to guidance provided by the Faculty of General Dental Practice regarding clinical examinations and record keeping.

6 December 2012

During an inspection looking at part of the service

We visited the service on 6 December 2012 to follow up the progress made since our last inspection on 5 January 2012 when we issued two compliance actions and suggested some areas for improvement. The compliance actions related to issues around safeguarding children/ vulnerable people and infection control. We had some concerns regarding the arrangements for staff training in emergency procedures and the monitoring of expiry dates of emergency drugs.

We saw the provider had taken action to address concerns raised at our last inspection.

During our visit on 6 December 2012 we met with the provider, the practice manager and one dental nurse.

5 January 2012

During a routine inspection

We were able to talk with five people during our inspection of the Wilton Dental Practice on 5 January 2012. They told us they were happy with the service they received. They told us they that they were given information about their treatment, options they may have had and relevant fees. They said that the staff working at the clinic were friendly, polite and competent. They told us they thought the clinic was clean.

We spoke with one of the two dentists who worked at the practice at the time of our inspection. The other dentist who was also the owner of the business was on holiday. We also spoke with the two dental nurses who worked at the practice. They all told us that they attended training that was required for their continuing professional development. They said that they had not received any training about safeguarding children and vulnerable adults.