Updated 17 March 2020
We undertook a focused inspection of Bellstone Dental Practice on 26 February 2020. 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 remotely by a specialist dental adviser.
We undertook a comprehensive inspection of Bellstone Dental Practice on 25 June 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 Bellstone Dental Practice on our website www.cqc.org.uk.
As part of this inspection we asked:
• Is it well-led?
Our findings were:
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 25 June 2019.
.
Background
Bellstone Dental Practice is in Shrewsbury, Shropshire and provides NHS and private treatment for adults and children. The practice is one of two within Shropshire registered under the same provider.
Bellstone Dental Practice is in the town centre. There is no dedicated parking due to the location of the practice. The practice is accessible via public transport with a bus stop within 200 metres. This bus stop is also utilised by the local park and ride service. Access into the reception area is up two small steps. There is no access for wheelchair users.
The dental team includes four dentists, a dental hygienist, four dental nurses including three trainee dental nurses and a practice manager. The practice has three treatment rooms and centralised decontamination facilities.
The practice is owned by a partnership 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 Bellstone Dental Practice is the principal dentist.
During the inspection we spoke with the principal dentist 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 to Friday: from 9am to 5pm.
Our key findings were:
- Staff training records had been updated and a system developed to give oversight of staff training and continuous professional development.
- The emergency medicines had been reviewed. The practice now held all of the medicines required, as described in national guidance.
- Staff recruitment records had been audited and the practice had all of the records required by the regulations for each member of staff.
- The system for monitoring complaints has been reviewed and records were being kept. A system to analyse complaints had been introduced.
- Radiography audits had been completed for each dentist, all within the last year.
- The system for untoward incidents/ significant events has been reviewed and this now captured all of the information and provided analysis and shared learning.