Norton Village Dental

Updated 21 September 2016

We undertook a follow up inspection of Norton Village Dental on the 1 September 2016. This inspection was carried out to check that improvements to meet legal requirements planned by the practice after our inspection on 30 June 2015 had been made. We inspected the practice against one of the five questions we ask about services: is the service Well led. This is because the service was not meeting some of the legal requirements.

The inspection was carried out by a CQC inspector.

The methods that were used to collect information at the inspection included interviewing staff, observations and reviewing documents.

During the inspection we spoke with the registered provider, the practice manager and the lead dental nurse.

Updated 21 September 2016

We carried out an announced inspection of this practice on 30 June 2015. Breaches of legal requirements were found. After the inspection, the practice wrote to us to say what they would do to meet legal requirements in relation to well led care.

We undertook this focused inspection to check they had followed their plan and to confirm they had 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 Norton Village Dental 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

The practice offers both NHS and private treatments. The NHS contract only extended to children. The staff structure at the practice includes the principal dentist, three dental nurses (one of which was a trainee, one worked as the practice manager and one was the lead nurse), and a dental hygiene therapist.

The practice is open:

Monday 9:00am to 6:30pm

Tuesdays to Thursday from 9.00am to 5.30pm

Friday 9.00am to 5.00 pm.

One Saturday per month the practice is open 10.00 am to 1.00pm.

The practice has two treatment rooms, both on the first floor along with a dedicated decontamination room and patient toilet. The reception and waiting area are on the ground floor. The practice is not accessible to patients with restricted mobility. The practice refers patients to neighbouring practices for treatments that have wheelchair access.

The practice offers a mix of NHS and private dental treatments including preventative advice, routine restorative dental care, private orthodontic treatments and dental implants.

The principal dentist is registered with the Care Quality Commission (CQC) as an individual registered person. 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 had reviewed their infection prevention and control procedures and protocols giving due regard to guidelines issued by the Department of Health - Health Technical Memorandum 01-05: decontamination in primary care dental practices and The Health and Social Care Act 2008: ‘Code of Practice about the prevention and control of infections and related guidance’.
• The practice had established an effective system to assess, monitor and mitigate the risks relating to the health, safety and welfare of patients, staff and visitors.
• The practice had implemented governance arrangements including the effective use of risk assessments, audits, such as those for infection control, and radiographs.
• All staff meetings were now minuted for monitoring and improving the quality of the care received.
• Changes had been made to the premises to ensure they were clutter free and fit for purpose.
• The fridge that stored medicines now had a temperature check record in place.