Updated 31 July 2020
We undertook a follow up desk-based inspection of Mansfield Orthodontic Practice on 7 July 2020. 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 was supported by a specialist dental adviser.
We undertook a comprehensive inspection of Mansfield Orthodontic Practice on 20 February 2020 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 and 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 Mansfield Orthodontic Practice on our website .
As part of this inspection we asked:
- Is it safe?
- Is it well-led?
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.
This desk-based inspection was undertaken during the Covid 19 pandemic. Due to the demands and constraints in place because of Covid 19 we reviewed the action plan and asked the provider to confirm compliance after a reasonable interval, focusing on the area where improvement was required.
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 breach we found at our inspection on 20 February 2020.
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 20 February 2020.
Background
Mansfield Orthodontic Practice is in Mansfield, it provides both NHS and private specialist orthodontic treatment to adults and children. The practice is split over two separate addresses, numbers 17 and 19 Woodhouse Road. Both addresses are registered with the Care Quality Commission separately. This report relates to number 17 Woodhouse Road in Mansfield.
There is level access in to the practice for people who use wheelchairs and those with pushchairs. Car parking spaces, including parking for people with disabilities, are available near the practice.
The dental team includes four specialist orthodontists, three orthodontic therapists, nine dental nurses, two receptionists, two laboratory technicians, a sterilisation operative and a business manager. The practice has three treatment rooms, one of which is located on the ground floor. The practice has centralised decontamination facilities.
The practice is owned by a company and as a condition of registration must have a person registered with the CQC as the registered manager. Registered managers have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated regulations about how the practice is run. The registered manager at Mansfield Orthodontic Practice is the principal orthodontist.
The practice is open: Monday to Thursday: from 8am to 5pm and Friday: from 8am to 2pm.
Our key findings were :
- Infection control policies and procedures had been checked and reporting systems between the head dental nurse and the infection control lead had been reviewed and strengthened.
- Additional training has been given to staff working in the decontamination room.
- The recruitment policy had been updated to clearly state what information was required by Schedule 3 of the Health and Social Care Act 2008 Regulations.
- All staff files now held the information required by Schedule 3.
- A log to record and track NHS prescriptions had been introduced.
- There was a full set of emergency equipment and medicines available in each location.
- Additional checks had been introduced to ensure equipment and medicines were available and within their use by date.
- All staff had completed sepsis training.