4 July 2016
During an inspection looking at part of the service
We carried out an announced comprehensive inspection of this practice on 5 November 2015. Breaches of legal requirements were found.
We undertook this focused inspection to confirm that they now met legal requirements. This report only covers our findings in relation to those requirements. You can read the report from our last comprehensive inspection, by selecting the 'all reports' link for Midland Road Dental Surgery on our website at www.cqc.org.uk
Our findings were:
Are services well-led?
We found that this practice was providing well-led care in accordance with the relevant regulations.
Background
Midland Road Dental Practice is a general dental practice situated in a converted house in the centre of Bedford. The practice offers mostly NHS and some private treatment to adults and children.
The premises consist of a reception area and waiting room on the ground floor, and two treatment rooms along with a dedicated decontamination room on the first floor.
The principal dentist is registered with the Care Quality Commission (CQC) as an individual. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the practice is run.
Our key findings were:
- The practice was maintaining accurate, complete and contemporaneous records in respect of each patient.
- Risk assessments had been carried out to identify and assess areas of risk to the health and safety of staff, patients and visitors to the practice.
- Clinical audit had been used effectively to highlight areas of concern within clinical practice.
There were areas where the provider could make improvements and should:
- Review its responsibilities as regards to the Control of Substance Hazardous to Health (COSHH) Regulations 2002, ensure all documentation is up to date and staff understand how to minimise risks associated with the use of and handling of these substances.