• Dentist
  • Dentist

Prince of Wales Road Dental Practice Also known as East Of England Endodontics

42 Prince of Wales Road, Norwich, Norfolk, NR1 1LG (01603) 629344

Provided and run by:
Prince of Wales Road Dental Practice

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

All Inspections

15 March 2022

During an inspection looking at part of the service

We undertook a follow up focused of Peacock and Shrestha on 15 March 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 provider was now meeting legal requirements.

We undertook a comprehensive inspection of the practice on 20 July 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 Peacock and Shrestha 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 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 well-led?

Our findings were:

We found this practice was providing well-led care in accordance with the relevant regulations. The provider had made good improvements in relation to the regulatory breach we found at our inspection on 20 July 2021.

Background

Peacock and Shrestha is a well-established practice based in Norwich, that provides mostly NHS treatment to about 15,000 patients. The dental team includes four dentists, two dental hygienists, a practice manger and six dental nurses. The practice has six treatment rooms, not all of which were operational at the time of our inspection.

There is portable ramp access to the practice for wheelchair users.

On the day of inspection, we spoke with the practice manager. We looked at practice policies and procedures and other records about how the service was managed.

20 July 2021

During an inspection looking at part of the service

We carried out this announced focused inspection on 20 July 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

Peacock and Shrestha is a well-established practice based in Norwich, that provides NHS treatment to about 15,000 patients. The dental team includes three dentists, two dental hygienists, a practice manger and six dental nurses. The practice has six treatment rooms, not all of which were operational at the time of our inspection.

There is portable ramp access to the practice for wheelchair users.

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 the practice is one of the partners.

The practice is open Monday to Fridays from 8am to 5pm.

During the inspection we spoke with three dentists, the practice manager, two dental nurses and reception staff. We looked at practice policies and procedures and other records about how the service is managed.

Our key findings were:

  • The provider had infection control procedures which reflected published guidance.
  • The provider had systems to help them manage risk to patients and staff.
  • The provider had safeguarding processes and staff knew their responsibilities for safeguarding vulnerable adults and children.
  • The provider dealt with complaints positively and efficiently.
  • Dental care records did not always follow guidance provided by the Faculty of General Dental Practice.
  • Hot water temperatures did not always reach the required temperatures to prevent legionella bacteria build up.
  • There was a system for recording, investigating and reviewing incidents or significant events. However there was no evidence to show how learning from incidents and accidents was used to drive improvement and safety.

We identified regulations the provider was not complying with. 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.

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

  • Take action to ensure dentists are aware of the guidelines issued by the British Endodontic Society for the use of rubber dam for root canal treatment.

  • Improve the practice’s sharps procedures to ensure the practice is in compliance with the Health and Safety (Sharp Instruments in Healthcare) Regulations 2013.

  • Implement a system to identify individual lost or missing prescriptions.

  • Take action to ensure all clinicians are adequately supported by a trained member of the dental team when treating patients in a dental setting taking into account the guidance issued by the General Dental Council.

  • Implement a system for monitoring and recording the fridge temperature to ensure that medicines and dental care products were stored in line with the manufacturer’s guidance.

20 November 2013

During a routine inspection

We spoke with a senior dentist, the practice manager, five additional members of staff and four people who used the service. We read 11 sets of treatment records and observed a consultation.

Treatment records we examined included copies of treatment plans. These had been signed by the person to indicate that they agreed with the planned treatment

People we spoke with told us that they were treated with respect. Each person said that they were given information about their oral health at each consultation and that the dentists and other professionals explained things clearly. One person said 'I can always get an appointment.' Another person told us 'I'm satisfied. I wouldn't keep coming otherwise.'

Dental nurses undertook the cleaning, sterilisation and repackaging of dental instruments in a dedicated decontamination room. Staff had developed an 'emergency warning system' by which warnings about emergencies, such as the sudden illness of a person, could be sent to staff via the practice computer system. This showed us that the practice took steps to ensure safe and responsive care was available quickly.

Dentists, hygienists and dental nurses, were given support by the practice to help them achieve their required continuous professional development (CPD) training. Staff took steps to improve the service provided by responding to comments and suggestions.