Updated 22 December 2023
We undertook a follow up focused inspection of Dumbledore Primary Care Centre on 29 November 2023. This inspection was carried out to review 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 was supported by a specialist dental advisor.
We had undertaken a follow up inspection of Dumbledore Primary Care Centre on 26 April 2023 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 safe or well-led care and was in breach of regulations 12 (Safe care and treatment), 17(Good governance), 18 (Staffing) and 19 (Fit and proper persons employed) 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 Dumbledore Primary Care Centre on our website www.cqc.org.uk.
As part of this inspection we asked:
- Is it safe?
- Is it well-led?
Our findings were:
Are services safe?
We found this practice was providing safe care in accordance with the relevant regulations.
The provider had made improvements in relation to the regulatory breaches we found at our inspection on 26 April 2023.
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 breaches we found at our inspection on 26 April 2023.
Background
Dumbledore Primary Care Centre is part of South Cliff Dental Group, a group dental provider.
Dumbledore Primary Care Centre is in Handcross and provides NHS and private dental care and treatment for adults and children.
The dental practice is located within a shared healthcare premises with a GP surgery. There is level access to the practice for people who use wheelchairs and those with pushchairs. Car parking spaces, including dedicated parking for disabled people, are available outside the practice.
The dental team includes 4 dentists, 8 trainee dental nurses, 2 dental hygienists, 3 dental therapists, 2 receptionists and a practice manager (who is a qualified dental nurse). The practice has 3 treatment rooms.
During the inspection we spoke with 1 dentist, 2 trainee dental nurses, 2 receptionists, the compliance manager and one of the company directors. We looked at practice policies, procedures and other records to assess how the service is managed.
The practice is open:
Monday to Friday from 8.30am to 5.30pm
Saturday from 9.30am to 5.30pm
There were areas where the provider could make improvements. They should:
- Improve the practice's recruitment policy and procedures to ensure accurate, complete and detailed records are maintained for all staff.
- Improve the practice's liaison with the medical centre to ensure monthly water temperature checks of sentinel outlets are carried out and recorded.