Archived: B E Perry Dental - Ripon Road

Updated 27 February 2017

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection was planned to check whether the registered provider was meeting the legal requirements and regulations associated with the Health and Social Care Act 2008.

The inspection was led by a CQC inspector who was supported by a specialist dental adviser.

During the inspection we spoke with the principal dentist and one dental nurse. To assess the quality of care provided we looked at practice policies and protocols and other records relating to the management of the service.

To get to the heart of patients’ experiences of care and treatment, we always ask the following question:

• Is it well-led?

These questions therefore formed the framework for the areas we looked at during the inspection.

Updated 27 February 2017

We carried out a follow up inspection at B E Perry Dental - Ripon Road on the 7 February 2017.

We had undertaken an announced comprehensive inspection of this service on the 20 September 2016 as part of our regulatory functions where breaches of legal requirements were found.

After the comprehensive inspection, the practice wrote to us to say what they would do to meet the legal requirements in relation to each of the breaches. This report only covers our findings in relation to those requirements.

We reviewed the practice against one of the five questions we ask about services: is the service safe?

You can read the report from our last comprehensive inspection, by selecting the 'all reports' link for B E Perry Dental - Ripon Road on our website at www.cqc.org.uk.

We revisited the B E Perry Dental - Ripon Road as part of this review and checked whether they had followed their action plan and to confirm they now met the legal requirements.

Our findings were:

Are services well-led?

We found that this practice was providing well-led care in accordance with the relevant regulations.

Background

B E Perry Dental Limited is situated in the town centre of Harrogate, North Yorkshire. The practice offers private dental treatment including preventative advice, dental implants restorations and cosmetic dentistry.

The practice has three surgeries located on the ground floor, a decontamination room, a waiting area, a reception area to welcome patients and patient toilets. There are staff facilities and offices in the basement of the premises.

There is one dentist, two dental nurses (one of which is the receptionist) and a dental hygienist.

The practice is open:

Monday, Wednesday and Friday 09:00 – 17:30. The practice closes for lunch between 12:30 and 14:00. Tuesday & Thursday 09:00 – 12:30.

The practice owner is the registered manager. A registered manager is a person who is registered with the Care Quality Commission to manage the service. 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 had undertaken a Legionella risk assessment and have implemented the required actions 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 practices had completed sharps handling procedure and protocols in compliance with the Health and Safety (Sharp Instruments in Healthcare) Regulations 2013.
• The practice's had reviewed their recruitment policy and procedures ensuring they are suitable and the recruitment arrangements are in line with Schedule 3 of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014 to ensure necessary employment checks are in place for all staff and the required specified information in respect of persons employed by the practice is held.
• The practice had established a system for identifying, receiving, recording, handling and responding to complaints by patients.
• The staff had reviewed their responsibilities in regards to the Control of Substance Hazardous to Health (COSHH) Regulations 2002 and, ensure all documentation is up to date and staff understand how to minimise risks associated with the use of and handling of these substances. A risk assessment for each material used within the practice was now in place.

There were areas where the provider could make improvements and should:

• Review the practice’s arrangements for receiving and responding to patient safety alerts, recalls and rapid response reports issued from the Medicines and Healthcare products Regulatory Agency (MHRA) and through the Central Alerting System (CAS), as well as from other relevant bodies such as, Public Health England (PHE).
• Review the practice’s safeguarding policy; ensuring it covers both children and adults.