Updated 31 August 2018
We undertook a focused inspection of Moss Grove dental practice on Wednesday 8 August 2018. This inspection was carried out to review in detail the actions taken by the registered provider to improve the quality of care and to confirm that the practice was now meeting legal requirements.
The inspection was led by a CQC inspector who had access to telephone support by a specialist dental adviser.
We undertook a comprehensive inspection of Moss Grove dental practice 9 January 2017 under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. We found the registered provider was not providing well led care in accordance with the relevant regulations 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 Moss Grove dental practice on our website www.cqc.org.uk.
When one or more of the five questions are not met we require the service to make improvements and send us an action plan. We then inspect again after a reasonable interval, focusing on the area where improvement was required.
As part of this inspection we asked:
• Is it well-led?
Our findings were:
Are services well-led?
We found this practice was providing well-led care in accordance with the relevant regulations.
The provider had made improvements in relation to the regulatory breach we found at our inspection on 9 January 2017.
Background
Moss Grove is in Kingswinford and provides private treatment to adults and children.
There is ramp access for people who use wheelchairs and those with pushchairs. The practice has a car park and other car parking spaces, including for blue badge holders, are available near the practice.
The dental team includes two dentists, four dental nurses and a practice manager. Dental nurses also work as receptionists. The practice has three treatment rooms, all of which are on the ground floor.
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.
During the inspection we spoke with the principle dentist and briefly spoke with two dental nurses. 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 12.30pm and 2pm to 5.30pm with extended hours opening on a Monday until 7pm. The practice is also open by appointment only once a month on a Saturday between 9am and 12 noon.
Our key findings were:
- The practice had systems for the disposal of amalgam waste in accordance with HTM 01-07.
- Items subject to the Control of Substances Hazardous to Health were securely stored.
- The practice’s fire safety equipment was serviced, checked and maintained in good working order. Staff completed six monthly fire drills.
- The provider had completed training regarding how to complete a legionella risk assessment and had completed a risk assessment for the practice.
- Suitable systems were in place for the recording, investigating and reviewing accidents or significant events.
- The practice was giving due regard to the Health and Safety (Sharp Instruments in Healthcare) Regulations 2013.
- The practice was giving due regard to the Ionising Radiation (Medical Exposure) Regulations (IR(ME)R) 2000 regulation.
- The practice’s complaint procedure included contact details for external organisations for patients to contact if they are unhappy with the outcome of the practice’s internal investigation. The patient information leaflet also recorded these contact details.
- The practice had reviewed its responsibilities to the needs of people with a disability and the requirements of the Equality Act 2010. A hearing loop had been purchased and contact details for sign language interpreters have been made available for staff. The practice manager had prepared information for staff regarding the accessible information standards. Information was available for staff regarding how to communicate with people who were hearing impaired. The practice did not have an accessible toilet and due to the constraints of the building would not be able to provide one. We were told that new patients would be informed of this.