We carried out an announced comprehensive inspection on 18 January 2017 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 that this practice was providing safe care in accordance with the relevant regulations.

Are services effective?

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

Are services caring?

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

Are services responsive?

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

Are services well-led?

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

Background

Broom Road Dental Care is located in Rotherham and is part of the Jones and Joseph Dental Practices group. The practice offers NHS and private treatments which includes dental implants and conscious sedation services. There are four treatment rooms, a decontamination room, a waiting room and separate reception area. There are office and staff facilities upstairs and a ground floor toilet for patients.

There are six dentists (one is a foundation training dentist) six dental nurses, (two are trainees), a practice manager, a receptionist and a contract practice cleaner.

Access to the main entrance of the practice is via a set of steps from the main road. To assist patients with impaired mobility, access can be achieved through the rear entrance. Parking is available on local roads.

The practice is open between 09:00am – 5:30pm Monday to Friday.

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

On the day of inspection we received 12 CQC comment cards providing feedback. Patients who provided feedback were very positive about the care and attention to treatment they received at the practice. Comments included that patients felt they were involved in all aspects of their care and found the staff to be very pleasant and helpful, the practice had a happy environment; staff were friendly and communicated well. Patients commented they could access emergency care easily and they were treated with dignity and respect in a clean and tidy environment.

Our key findings were:

• The practice had systems in place to assess and manage risks to patients and staff including infection prevention and control, health and safety and the management of medical emergencies.
• The practice was visibly clean and tidy.
• Staff had received safeguarding training, knew how to recognise signs of abuse and how to report it. They had systems in place to work closely and share information with the local safeguarding team.
• There were sufficient numbers of suitably qualified staff to meet the needs of patients.
• Infection control procedures were in accordance with the published guidelines.
• Oral health advice and treatment were provided in line with the ‘Delivering Better Oral Health’ toolkit (DBOH).
• Treatment was well planned and provided in line with current guidelines.
• Patients received clear explanations about their proposed treatment, costs, benefits and risks and were involved in making decisions about it.
• Patients were treated with dignity and respect and confidentiality was maintained.
• The appointment system met patients’ needs.
• The practice was well-led and staff felt involved and supported and worked well as a team.
• The governance systems were effective and embedded.
• The practice sought feedback from staff and patients about the services they provided.
• There were clearly defined leadership roles within the practice.

People who we spoke with told us that they were very satisfied with the treatment provided at the practice. They said they had used the practice for a number of years. They told us that all their family were registered and they felt involved in discussions about their treatment. One person told us “The dentist explains the treatment at every stage and they always put me at ease”. People told us that they were never kept waiting to see the dentist and that was important to them.

People said “The practice is always clean and the staff always took time to ensure all of their details were up to date before they were seen by the dentist.” Another person said “Staff always wear protective clothing and offer me protective glasses. I always see the same dentist and if needed I can get an appointment at short notice.”

People recieved treatment from suitably qualified, skilled and experienced staff. Appropriate checks had been undertaken before staff began work.

There was an effective complaints system in place. Complaints people made were responded to appropriately. People told us if they had any concerns or complaints they would discuss them with members of staff and they were confident of using the complaints system. One person said "We are able to complete satisfaction surveys and put them in the box, we are very happy with the practice."