Highfield Dental Clinic, Dartford.Highfield Dental Clinic in Dartford is a Dentist specialising in the provision of services relating to diagnostic and screening procedures, services for everyone, surgical procedures and treatment of disease, disorder or injury. The last inspection date here was 9th January 2018 Contact Details:
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Local Authority:
Link to this page: Inspection Reports:Click the title bar on any of the report introductions below to read the full entry. If there is a PDF icon, click it to download the full report.
24th October 2017 - During a routine inspection
![]() We carried out this unannounced inspection on 24 October 2017 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 CQC inspector who was supported by a specialist dental adviser.
We told the NHS England area team that we were inspecting the practice. They provided information which we took into account.
To get to the heart of patients’ experiences of care and treatment, we always ask the following five questions:
• Is it safe?
• Is it effective?
• Is it caring?
• Is it responsive to people’s needs?
• 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 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
Highfield Dental Clinic is in Dartford and provides NHS and private treatment to patients of all ages.
There is level access for people who use wheelchairs and pushchairs. Car parking spaces, including some for patients with disabled badges, are available at the rear of the practice.
The dental team includes four dentists, two dental nurses, two receptionists and a practice manager. The practice has three treatment rooms one of which has been decommissioned.
The practice is owned by an individual who is the principal dentist there. They 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 this occasion we did not supply CQC comment cards to be filled in by patients as this was an unannounced inspection.
During the inspection we spoke with two dentists, one dental nurse, one receptionists 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 to Friday 9am to 6pm
Our key findings were:
25th July 2014 - During an inspection to make sure that the improvements required had been made
![]() Our inspection on 3 December 2013 found that information provided by the provider did not evidence compliance with guidance issued by the Department of Health for "Conscious sedation in the provision of dental care" around medical emergencies. This guidance stipulated what equipment dentists were required to have to ensure patient safety was maintained when conscious sedation was used, such as an automated external defibrillator (AED). We did not find an AED in the practice or a risk assessment to deem having one un-necessary. This meant that the registered person was not following current guidance in the use of conscious sedation which had potential to place people at risk of harm. We asked the provider to take action to address these concerns. They wrote to us confirming that all required actions had been taken to comply with the regulations regarding conscious sedation carried out at the practice. A planned follow-up inspection was scheduled to check that the provider had achieved compliance. At this inspection on the 25 July 2014, we found that the provider was able to demonstrate that they had met the compliance actions set to address the areas of concern identified at our previous inspection.
3rd December 2013 - During a routine inspection
![]() Patients were given appropriate information and support regarding their care or treatment. People we spoke with told us that the dentist was good, patients said "This is a very good dentist” and “They treated me with respect”. All of the patients we talked with were complimentary about the practice. Patients' needs were assessed and care and treatment was planned and delivered in line with their individual treatment plan. However we found that information provided by the provider did not evidence compliance with guidance issued by the Department of Health, for example “Conscious sedation in the provision of dental care”. We saw that the practice was clean and well maintained. In all areas, including the examination rooms, the surfaces and floors were covered in easy to clean materials which allowed high levels of hygiene to be maintained throughout the working day. People were cared for by staff who were supported to deliver care and treatment safely and to an appropriate standard. We found that the service had the appropriate policies in place to manage and monitor the quality of the service provided. These included policies for dealing with emergencies
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