Updated 7 November 2024
We carried out this unannounced focused on site assessment on 20 September 2024. We found the practice had not met all regulations. Recruitment procedures did not reflect current legislation, there was ineffective leadership and lack of a culture of continuous improvement. The practice did not have effective systems to manage risks and infection control procedures did not follow published guidance. The provider did not have sufficient number of suitably qualified, skilled and experienced staff. Safeguarding processes were not in place and staff did not know their responsibilities for safeguarding. The practice did not have effective systems to review and investigate incidents and accidents. Whilst the provider offers a range of medical services from this location, during this assessment we only looked at the provision of dental services. Due to the unannounced nature of the on-site visit, we were unable to gather sufficient evidence to report on the key questions of Effective, Caring and Responsive. There was step free access to the practice and car parking spaces were available near the practice. The practice had 1 dental treatment room. During the assessment we spoke with the owner, who was also the practice manager, 1 dentist, 1 staff member who carried out infection prevention control duties and 1 receptionist. The provider was not complying with 4 regulations. Full details of the regulations the provider was not meeting are within the quality statement section of the report. In instances where CQC have decided to take civil or criminal enforcement action against a provider, we will publish this information on our website after any representations and appeals have been concluded.