Updated 22 October 2018
We undertook a focused follow up inspection of Town Moor Dental Care on the 17 September 2018. 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 Town Moor Dental Care on 29 May 2018 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 in accordance with the relevant regulations 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 Town Moor Dental Care on our website www.cqc.org.uk.
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 area where improvement was required.
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 breaches we found at our inspection on 29 May 2018.
Background
Town Moor Dental Care is in Doncaster and provides private treatment to adults and children. Entry into the practice is via a single step. Entry assistance is available if required for people who use wheelchairs and pushchairs. Car parking spaces are available at the practice.
The dental team includes the principal dentist and two dental nurses, one of whom is a trainee. A dentist who specialises in endodontics (root canal treatment) visits the practice monthly. The practice has one treatment room and an instrument decontamination room.
The practice is owned by a company 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 Town Moor Dental Care Limited was the principal dentist.
During the inspection we spoke with two dental nurses, we spoke with the principal dentist by telephone after the focussed inspection. We looked at practice policies and procedures and other records about how the service is managed.
The practice is open:
Monday, Wednesday, Thursday and Friday 10am – 7pm
Tuesday 8am – 4pm
Our key findings were:
- Staff knew how to deal with emergencies. Systems were now in place to monitor emergency medicines and equipment.
- Improvements had been made to ensure the practice had systems to help them manage risk.
- Staff knew their responsibilities for safeguarding adults and children, safeguarding policies were now in place and staff were aware of reporting procedures.
- The practice’s recruitment procedures reflected current legislation.
- Staff appraisal and induction process were now embedded.
- Improvements had been made to lead and support the team.
- Audit processes had improved to ensure continuous improvement and innovation.