Updated 6 October 2021
We undertook a follow up focussed inspection of Windlesham Dental Centre on 2 September 2021. 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 Windlesham Dental Centre on 28 April 2021 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 and well led care and was in breach of regulation X 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 Windlesham Dental Centre on our website www.cqc.org.uk.
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 areas 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 breaches we found at our inspection on 28 April 2021.
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 28 April 2021.
Background
Windlesham Dental Centre is in Windlesham and provides private treatment for adults and children.
There is level access for people who use wheelchairs and those with pushchairs. Car parking spaces, including those for blue badge holders, are available near the practice.
The dental team includes a dentist and a dental nurse. The practice has one treatment room.
The practice is owned by an individual who is the principal dentist there. They have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated regulations about how the practice is run.
During the inspection we spoke with a dentist and a dental nurse. We looked at practice policies and procedures and other records about how the service is managed.
The practice is open:
- Monday 8am to 2pm
- Tuesday 8am to 2pm
- Wednesday 8am to 2pm
- Thursday Closed
- Friday 8am to 2pm
- Saturday 9am to 1pm
Our key findings were:
- The provider had infection control procedures which reflected published guidance.
- Appropriate medicines and life-saving equipment were available.
- The provider had staff recruitment procedures which reflected current legislation.
- The provider asked staff and patients for feedback about the services they provided.
- Quality assurance process and systems were in place.
- Referrals were centrally monitored.
- Protocols and procedures were in place for the use of X-ray equipment.
- Risk management systems for monitoring and mitigating various risks were in place.
- The provider should review the provision of hot running water within the practice.
- The provider should ensure that dental care records are completed in line with guidance.
There were areas where the provider could make improvements. They should:
- Take action to ensure both hot and cold running water should be available in areas where employees are expected to wash their hands taking into account the Workplace (Health, Safety and Welfare) Regulations, 1992.
- Take action to ensure the clinicians take into account the guidance provided by the Faculty of General Dental Practice when completing dental care records.