Genix Healthcare Dental Clinic - Garforth

We undertook a follow up inspection of Genix Healthcare Dental Clinic – Garforth on 12 December 2019. 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 remote access to a specialist dental adviser.

We undertook a follow up inspection of Genix Healthcare Dental Clinic – Garforth on 28 March 2019 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 and was in breach of regulation 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 Genix Healthcare Dental Clinic – Garforth on our website www.cqc.org.uk.

As part of this inspection we asked:

• 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 areas where improvement was required.

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 28 March 2019.

Background

Genix Healthcare Dental Clinic – Garforth provides NHS and private treatment to adults and children.

There is one small step at the front entrance to the practice. The provider has a portable ramp available to facilitate access into the practice for wheelchair users and for pushchairs. Car parking spaces are available near the practice.

The dental team includes nine dentists, ten dental nurses, two dental hygiene therapists, four receptionists and a practice manager. They are supported by an operations manager. The practice has eight treatment rooms.

The practice is owned by a company and as a condition of registration must have a person registered with the Care Quality Commission 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 Genix Healthcare Dental Clinic – Garforth is the practice manager.

During the inspection we spoke with one dentist, one dental nurse, one dental hygiene therapist, the area operations manager and the practice manager. We looked at practice policies and procedures and other records about how the service is managed.

The practice is open:

Monday and Thursday from 8:45am to 5:00pm

Tuesday and Wednesday from 8:45am to 7:30pm

Friday from 8:45am to 4:00pm

Saturday from 8:45am to 2:00pm

Our key findings were:

• Improvements had been made to the process for managing the risks associated with the use of radiation and Legionella.
• Improvements had been made to the recruitment processes. Further improvements should be made.
• Improvements had been made to the process for validating the autoclaves.

There were areas where the provider could make improvements. They should:

• Implement an effective recruitment procedures to ensure that appropriate checks are completed prior to new staff commencing employment at the practice.

We undertook a focused inspection of Genix Healthcare Dental Clinic – Garforth on 28 March 2019. 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 Genix Healthcare Dental Clinic – Garforth on 3 January 2019 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) and 17 (Good governance) 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 Genix Healthcare Dental Clinic – Garforth 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 breach we found at our inspection on 3 January 2019.

Are services well-led?

We found this practice was not providing well-led care in accordance with the relevant regulations.

The provider had made insufficient improvements to put right the shortfalls and had not responded to the regulatory breach we found at our inspection on 3 January 2019.

Background

Genix Healthcare Dental Clinic – Garforth provides NHS and private treatment to adults and children.

There is one small step at the front entrance to the practice. The provider has a portable ramp available to facilitate access to the practice for wheelchair users and for pushchairs. Car parking spaces are available near the practice.

The dental team includes eight dentists, seven dental nurses, one dental hygiene therapist, three receptionists and a practice manager. They are supported by an operations manager. The practice has eight treatment rooms.

The practice is owned by a company and as a condition of registration must have a person registered with the Care Quality Commission 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. At the time of inspection there was no registered manager in post as required as a condition of registration. A registered manager is legally responsible for the delivery of services for which the practice is registered.

During the inspection we spoke with three dentists, two dental nurses, the dental hygiene therapist, one receptionist and the operations manager. We looked at practice policies and procedures and other records about how the service is managed.

The practice is open:

Monday and Thursday from 8:45am to 5:00pm

Tuesday and Wednesday from 8:45am to 7:30pm

Friday from 8:45am to 4:00pm

Saturday from 8:45am to 2:00pm

Our key findings were:

• Improvements had been made to the overall safety of the service.
• Staff had all received safeguarding refresher training and infection control training.
• Improvements had been made to the process for managing the risks associated with Legionella. Further improvements could be made.
• Steps had been taken to address the risks associated with the use of the ground floor X-ray machines. Further improvements could be made in line with recommendations from the Radiation Protection Advisor (RPA).

We identified regulations the provider was not meeting. They must:

• Establish effective systems and processes to ensure good governance in accordance with the fundamental standards of care.

There were areas where the provider could make improvements. They should:

• Review the providers registration conditions to ensure the regulated activities at Genix Healthcare Dental Clinic – Garforth are managed by an individual who is registered as a manager.