Updated 9 August 2017
We carried out an announced follow-up inspection at Provident Dental Surgery on the 3 August 2017. This followed an announced comprehensive inspection on the 8 June 2017 carried out 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 actions they would take to meet the legal requirements in relation to the breaches.
We revisited Provident Dental Surgery and checked whether they had followed their action plan.
We reviewed the practice against three of the five questions we ask about services: is the service safe, effective and well-led? This report only covers our findings in relation to those requirements.
You can read the report from our last comprehensive inspection by selecting the ‘all reports’ link for Provident Dental Surgery on our website at www.cqc.org.uk.
Background
This inspection was planned to check whether the practice was meeting the legal requirements and regulations associated with the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014.
The follow-up inspection was led by a CQC inspector who was supported by a specialist dental advisor.
During our inspection visit, we checked that points described in the provider’s action plan had been implemented by looking at a range of documents such as risk assessments, staff files, policies and staff training.
Our key findings were:
- The practice had infection control procedures which were reflective of published guidance. There were systems in place to ensure that sterilised instruments were stored in line with the guidance.
- There were systems in place to ensure that all equipment used to sterilise instruments was validated as per national guidelines; and maintained as per manufacturer’s recommendations.
- Staff knew how to deal with medical emergencies. All appropriate medicines and life-saving equipment were available, including an automated external defibrillator; and all necessary checks on expiry dates and functionality were being completed.
- Risks related to undertaking of the regulated activities had been suitably identified and mitigated.
- The practice had suitable safeguarding processes and staff knew their responsibilities for safeguarding adults and children.
- The practice had thorough staff recruitment procedures.
- Consent was suitably obtained and documented.
- Effective systems were in place to suitably assess, monitor and improve the quality of the service.
- There was effective leadership at the practice and systems were in place to share information and learning amongst them.
- The practice had systems in place to seek feedback from staff and patients.