Updated 7 March 2018
We carried out this announced follow-up inspection on 13 February 2018. The inspection was led by a Care Quality Commission (CQC) inspector who was supported by a specialist dental adviser.
At the previous comprehensive inspection on 25 July 2017 we found the registered provider was providing effective, caring and responsive care in accordance with relevant regulations. We judged the practice was not providing safe or well-led care in accordance with 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 Kings Cross Dental Practice on our website www.cqc.org.uk.
The provider submitted an action plan to tell us what they would do to make improvements. We undertook this inspection on 13 February 2018 to check that they had followed their plan. We reviewed the key questions of safe and well-led.
Our findings were:
Are services safe?
We found that this practice was providing safe care in accordance with the relevant regulations. They demonstrated they had taken action to address the shortfalls and regulatory breach we identified when we inspected their practice on 25 July 2017.
The provider had made improvements with regard to:
- Ensuring recruitment procedures are established and operated effectively to ensure only fit and proper persons are employed, and ensuring specified information was available regarding each person employed.
Are services well-led?
We found that this practice was providing well-led care in accordance with the relevant regulations. They demonstrated they had taken action to address the shortfalls and regulatory breach we identified when we inspected their practice on 25 July 2017.
The provider had made improvements with regard to:
- Ensuring effective systems and processes were in place to ensure good governance in accordance with the fundamental standards of care.
- Ensuring persons employed in the provision of the regulated activity received the appropriate support, training, professional development, supervision and appraisal necessary to enable them to carry out their duties.
There was an area in which the provider could make improvements. They should:
- Review staff training to ensure that all staff carrying out or assisting with dental procedures carried out under conscious sedation have the appropriate training and skills to carry out the role taking into account guidelines published by The Intercollegiate Advisory Committee on Sedation in Dentistry in the document 'Standards for Conscious Sedation in the Provision of Dental Care 2015, and gain documentary evidence as to the competencies and training of people delivering conscious sedation.