Updated 27 November 2023
We undertook a follow up focused inspection of P.B. Robinson (Doncaster) Limited. High Street on 24 October 2023. This inspection was carried out to review 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 advisor.
We had previously undertaken a comprehensive inspection of P.B. Robinson (Doncaster) Limited. High Street on 16 February 2023 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, effective or well-led care and was in breach of regulations 12 and 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 P.B. Robinson (Doncaster) Limited. High Street dental practice on our website www.cqc.org.uk.
When 1 or more of the 5 questions are not met, we require the service to make improvements. We then inspect again after a reasonable interval, focusing on the areas where improvement was required.
As part of this inspection we asked:
- Is it safe?
- Is it effective?
- Is it well-led?
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 16 February 2023.
Are services effective?
We found this practice was providing effective care in accordance with the relevant regulations.
The provider had made improvements in relation to the regulatory breaches we found at our inspection on 16 February 2023.
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 16 February 2023.
Background
The provider is part of a dental group provider P.B. Robinson (Doncaster) Limited which has 6 locations registered with the CQC, and this report is about High Street.
High Street is in Bentley, Doncaster and provides NHS and private dental care and treatment for adults and children.
The practice is not accessible to wheelchair users. Wheelchair users can be accommodated at another of the provider’s nearby practices. On street parking is available near the practice.
The dental team includes 1 dentist, 1 dental nurse and a receptionist. The dental team is supported by a group compliance manager. The practice has 1 treatment room.
During the inspection we spoke with the owner, the dentist, the dental nurse, the receptionist and the group compliance manager. We looked at practice policies, procedures and other records to assess how the service is managed.
The practice is open:
Monday 9am to 5.30pm (surgery all day)
Tuesday 9am to 5.30pm (surgery 2pm-5pm)
Wednesday 9am to 5.30pm
Thursday 9am to 5.30pm (surgery 9am-12.30pm)
Friday 9am to 5.30pm
There were areas where the provider could make improvements. They should:
- Take action to appoint a competent person(s), to carry out any of the preventive and protective measures, taking into account The Regulatory Reform (Fire Safety) Order 2005.
- Improve the practice's systems for monitoring equipment taking into account relevant guidance and ensure that the ultrasonic cleaner is used and validated in line with manufacturer’s instructions.
- Improve the availability and staff knowledge of the practice’s safeguarding policy and procedures.