The Care Quality Commission
  • Dentist
  • Dentist

Adelphi Dental Centre

157 Adelphi Street, Preston, Lancashire, PR1 7BH (01772) 253443

Provided and run by:
Adelphi Dental Care

All Inspections

15 March 2023

During an inspection looking at part of the service

We undertook a follow-up focused inspection of Adelphi Dental Centre on 15 March 2023. This inspection was carried out to review 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 and was supported by a specialist dental advisor.

We had previously undertaken a focussed inspection of Adelphi Dental Centre on 14 June 2022 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 safe, effective, or well-led care and was in breach of regulations 12 and 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 Adelphi Dental Centre on our website www.cqc.org.uk.

When 1 or more of the 5 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.

At the follow-up inspection, carried out on 4 October 2022, we found the provider had made a number of improvements, but some areas required further focus, to bring the practice into full compliance with regulations 12 and 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 Adelphi Dental Centre on our website www.cqc.org.uk.

The provider sent us a further action plan, and we carried out a final follow-up inspection on 15 March 2023, to make checks that sufficient improvement had been achieved.

As part of this inspection, we asked:

  • Is it safe?
  • Is it effective?
  • Is it well-led?

Our findings were:

Are services safe?

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

The provider had made improvements in relation to the regulatory breaches we found at our inspection on 4 October 2022.

Are services effective?

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

The provider had made improvements in relation to the regulatory breaches we found at our inspection on 4 October 2022.

Are services well-led?

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

The provider had made improvements in relation to the regulatory breaches we found at our inspection on 4 October 2022.

Background

Adelphi Dental Centre is in Preston, Lancashire and provides NHS and some 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 at the practice. The practice has made reasonable adjustments to support patients with specific needs.

The dental team includes 2 dentists, 5 dental nurses, 1 dental therapist, a receptionist and a practice manager. The practice has 3 treatment rooms.

During the inspection we spoke with 2 dentists, 2 dental nurses, the dental therapist, and the practice manager. We looked at practice policies, procedures and other records to assess how the service is managed.

The practice is open Monday, Wednesday, and Thursday from 8.30am to 5.30pm; Tuesday from 8.30am to 7pm; and on Friday from 8.30am to 5pm.

4 October 2022

During an inspection looking at part of the service

We undertook a follow up focused inspection of Adelphi Dental Centre on 4 October 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 inspection was led by a CQC inspector who was supported by a specialist dental adviser.

We undertook a comprehensive inspection of Adelphi Dental Centre on 14 June 2022 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 safe or well led care and was in breach of regulations 12 and 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 Adelphi Dental Centre on our website www.cqc.org.uk.

When 1 or more of the 5 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.

As part of this inspection we asked:

Is it safe?

Is it effective?

Is it well-led?

Our findings were:

Are services safe?

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

The provider had made improvements to put right the shortfalls identified in our inspection of 14 June 2022 but had not responded in full to the regulatory breaches identified.

Are services effective?

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

The provider had made insufficient improvements to put right the shortfalls identified at our inspection of June 2022 and had not fully responded to the regulatory breaches found.

Are services well-led?

We found this practice was not providing well-led care in accordance with the relevant regulations.

The provider had made insufficient improvements to put right the shortfalls identified at our inspection of June 2022 and had not fully responded to the regulatory breaches found.

Background

Adelphi Dental Centre is in Preston, Lancashire and provides NHS and a small amount of 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 near the practice. The practice has made adjustments to support patients with additional needs. For example, through the provision of permanent ramp access to the practice and a hearing loop for patients with hearing difficulties.

The dental team includes 2 dentists, 5 dental nurses, 2 of whom are trainees, a dental hygiene therapist, a receptionist and a practice manager. The practice has 3 treatment rooms.

During the inspection we spoke with both of the dentists, 2 dental nurses, a receptionist 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, Wednesday and Thursday from 8.30am to 5.30pm, Tuesday from 8.30am to 7pm and on Friday from 8.30am to 5pm.

We identified regulations the provider was not meeting. They must:

  • Ensure care and treatment is provided in a safe way to patients.

  • Establish effective systems and processes to ensure good governance in accordance with the fundamental standards of care.

Full details of the regulations the provider was not meeting are at the end of this report.

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

  • Take action to implement any recommendations in the practice's Legionella risk assessment, taking into account the guidelines issued by the Department of Health in the Health Technical Memorandum 01-05: Decontamination in primary care dental practices, and having regard to The Health and Social Care Act 2008: ‘Code of Practice about the prevention and control of infections and related guidance.’ In particular to take steps to find whether the air conditioning system at the practice should be included in the Legionella risk assessment.

14 June 2022

During an inspection looking at part of the service

We carried out this announced focused inspection on 14 June 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.

To get to the heart of patients’ experiences of care and treatment, 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 was visibly clean and well-maintained.
  • The practice had infection control procedures in place but did not follow all parts of recognised guidance.
  • Staff knew how to deal with medical emergencies. However, all appropriate medicines and life-saving equipment were not available.
  • Some systems were in place to help manage risk to patients and staff; we observed some systems in place were not always followed.
  • Safeguarding processes were in place and staff knew their responsibilities for safeguarding vulnerable adults and children.
  • Staff recruitment procedures in place did not reflect current legislation.
  • 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.
  • Leadership was absent in some areas; steps to support a culture of continuous improvement were not effective.
  • The dental clinic had information governance arrangements. Record keeping in most areas was not sufficiently robust.

Background

Adelphi Dental Centre is in Preston, Lancashire and provides NHS and a small amount of 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 near the practice. The practice has made adjustments to support patients with additional needs. For example, through the provision of permanent ramp access to the practice and a hearing loop for those patients with hearing difficulties.

The dental team includes two dentists, five dental nurses, two of whom are trainees, a dental hygiene therapist, a receptionist and a practice manager. The practice has three treatment rooms.

During the inspection we spoke with one of the dentists, two dental nurses, a receptionist 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, Wednesday and Thursday from 8.30am to 5.30pm, Tuesday from 8.30am to 7pm, and on Friday from 8.30am to 5pm.

We identified regulations the provider was not complying with. They must:

Ensure care and treatment is provided in a safe way to patients.

Establish effective systems and processes to ensure good governance in accordance with the fundamental standards of care.

Full details of the regulations the provider is not meeting are at the end of this report.

21 November 2013

During an inspection looking at part of the service

We visited the service to follow up on concerns highlighted during the last inspection. These concerns were around inadequate recruitment practices and quality monitoring systems.

During this inspection, we found the provider had taken steps to rectify the situation and had implemented new policies and procedures.

We found a new recruitment policy and procedure was in place which was open, fair and ensured checks were made on candidates' suitability for the post or which they had applied, prior to them commencing work.

We also found the provider had made significant progress in formalising their systems for monitoring the quality of the service provided to people.

22 November 2012

During a routine inspection

We spoke with five people using the service (patients) in the surgery, three members of staff and one of the dentists. All the patients we spoke with felt the staff treated them in a friendly and respectful manner. They said staff were good at making them feel comfortable and at ease. One person said, "The staff are lovely" and "They are very friendly and explain everything properly".

People's right to private discussions/consultations was upheld and there was another room, other than the surgery, where private discussions could take place.

We found that some of the requirements relating to workers had not been completed. The management had not established systems that regularly assess and monitor of the quality of the service.

Patients we spoke with felt they were given enough information about their treatment options, and the relevant fees. This enabled them to make prefered choices. They said the dentist discussed these things properly with them. One patient said, "The dentist was very patient and explained everything thoroughly more than once".

Patients we spoke with told us they were very satisfied with their dental treatment. One said, "I'm very happy with the results of my treatment". We saw some written comments people had made. One described the dentist as 'having the patience of a saint'.