Updated 22 December 2022
We undertook a comprehensive inspection of Grandsmiledesigns Limited at Cedar Dental on 15 September 2022 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 regulation 15, 17 and 19 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 Grandsmiledesigns Limited at Cedar Dental, dental practice on our website www.cqc.org.uk.
When one or more of the 5 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.
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 15 September 2022.
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 15 September 2022.
Background
Grandsmiledesigns Limited at Cedar Dental is in the London borough of Sutton and provides private dental care and treatment for adults and children.
There is level access to the practice for people who use wheelchairs and those with pushchairs. The practice has a car park with spaces for patients, including disabled patient parking.
The dental team includes the principal dentist, 3 associate dentists, 3 visiting specialists, 2 dental nurses, a trainee dental nurse, 2 dental hygienists, a receptionist, a treatment co-ordinator (who is also a qualified dental nurse) and a business manager. There was a vacancy for the practice manager role. The practice has 3 treatment rooms.
During the inspection we spoke with the principal dentist, the business manager and the receptionist. We looked at practice policies and procedures and other records about how the service is managed.
The practice is open:
Monday to Saturday 8.30am to 5.30pm
Extended hours till 8.30pm on Thursdays.
There were areas where the provider could make improvements. They should:
- Improve the practice’s arrangements for ensuring good governance and leadership are sustained in the longer term.
- Take action to ensure audits of infection prevention and control are undertaken at regular intervals to improve the quality of the service. Practice should also ensure, where appropriate, audits have documented learning points and the resulting improvements can be demonstrated.
- Implement practice protocols and procedures to ensure staff are up to date with their mandatory training and their continuing professional development ensuring evidence of continuing professional development and training is maintained.