- Dentist
Antwerp House Dental Practice
We served a warning notice to Mr Raj Wadhwani on 11 February 2025 for failing to meet the regulations relating to safe care and treatment at Antwerp House Dental Practice.
Report from 15 January 2025 assessment
Contents
On this page
- Overview
- Assessing needs
- Delivering evidence-based care and treatment
- How staff, teams and services work together
- Supporting people to live healthier lives
- Monitoring and improving outcomes
- Consent to care and treatment
Effective
We found this practice was providing effective care in accordance with the relevant regulations and had taken into consideration appropriate guidance.
Find out what we look at when we assess this area in our information about our new Single assessment framework.
Assessing needs
The judgement for Assessing needs is based on the latest evidence we assessed for the Effective key question.
Delivering evidence-based care and treatment
The provider had systems to ensure that people who used the service received person-centred care and treatment that was appropriate, met their needs and was reflective of their personal preferences.
The dentists confirmed, where applicable, they referred patients to a range of specialists in primary and secondary care for treatment the practice did not provide.
Staff told us how they kept up to date with current evidence-based practice.
The practice provided preventive care and supported patients to ensure better oral health.
Staff worked together and with other health and social care professionals to deliver effective care and treatment.
Staff demonstrated their understanding of the need to obtain patients’ consent to care and treatment in line with legislation and guidance. They understood their responsibilities under the Mental Capacity Act 2005. However, improvements could be made to ensure that all staff had completed mandatory training in this area.
Staff had the skills, knowledge and experience to carry out their roles.
The practice offered dental implants. Staff obtained full consent, kept detailed records and had access to the appropriate equipment for the placement of implants, although the surgical drill unit had no evidence of being serviced, and staff were unaware if this was a requirement.
The practice offered conscious sedation for patients. The practice’s systems included checks before and after treatment, emergency equipment requirements, medicines management, and staff availability and training. However, equipment used in the provision of inhalational sedation had no evidence of being serviced, and staff were unaware if this was a requirement.
The practice offered orthodontic treatment for patients. The dentist carried out a patient assessment in line with recognised guidance from the British Orthodontic Society.
Staff could access a clinical dental technician and had an onsite laboratory which was registered with the Medicines and Healthcare products Regulatory Agency.
We looked at a sample of patient care records. The information recorded in these patient care records was in line with recognised guidance. Staff obtained patients’ consent to care and treatment in line with legislation and guidance. They understood their responsibilities under the Mental Capacity Act 2005.
We saw evidence the dentists justified, graded and reported on the radiographs they took; however, a radiograph audit had not been completed in line with guidance.
The practice had systems for the safe handling and prescribing of medicines. Improvements could be made to the storage and log of NHS prescriptions, to ensure prescriptions were adequately monitored.
Staff worked together and with other health and social care professionals to deliver effective care and treatment.
The practice had systems for referring patients with suspected cancer under the national Faster Diagnosis Standard.
How staff, teams and services work together
The judgement for How staff, teams and services work together is based on the latest evidence we assessed for the Effective key question.
Supporting people to live healthier lives
The judgement for Supporting people to live healthier lives is based on the latest evidence we assessed for the Effective key question.
Monitoring and improving outcomes
The judgement for Monitoring and improving outcomes is based on the latest evidence we assessed for the Effective key question.
Consent to care and treatment
The judgement for Consent to care and treatment is based on the latest evidence we assessed for the Effective key question.