Updated 14 November 2017
We carried out a follow-up inspection at Maltby Dental Practice on the 16 October 2017.
We had undertaken an announced comprehensive inspection of this service on the 26 May 2017 as part of our regulatory functions where a breach of legal requirements was found.
After the comprehensive inspection, the registered manager wrote to us to say what they would do to meet the legal requirements in relation to the breach. This report only covers our findings in relation to that requirement.
We reviewed the practice against one of the five questions we ask about services: are the services well led? You can read the report from our last comprehensive inspection, by selecting the 'all reports' link for Maltby Dental Practice on our website at www.cqc.org.uk.
We revisited Maltby Dental Practice as part of this review and checked whether they had followed their action plan and to confirm that they now met the legal requirements. We carried out this announced inspection on 16 October 2017 under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. We planned the inspection to check whether the registered provider was meeting the legal requirements in the Health and Social Care Act 2008 and associated regulations.
The inspection was led by a CQC inspector who was supported by a specialist dental adviser.
• Is it well-led?
This question forms the framework for the areas we look at during the inspection.
Our findings were:
Are services well-led?
We found that this practice was providing well-led care in accordance with the relevant regulations.
Background
Maltby dental practice is located in Maltby, Rotherham and is part of the P B Robinson and associates corporate business and provides NHS and private treatment to patients of all ages.
Entry into the practice is by step access from the main street. At the rear of the building there is level access for people who use wheelchairs. Car parking spaces are available nearby on local roads.
The dental team includes one dentist, one dental nurse, one receptionist and a visiting group practice manager. The practice has two treatment rooms, an X-ray room and a 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 Maltby Dental Practice is the group practice manager.
During the inspection we spoke with the dentist, the group practice manager and the group clinical director. We looked at practice policies and procedures and other records about how the service is managed.
The practice is open:
Monday – Thursday 9.00am – 5.30pm, Friday 9.00am – 3.00pm:
Our key findings were:
- Effective management of medicines and life-saving equipment was now in place, a minor improvement was required to monitor and record the temperature of the medicine fridge.
- The practice’s incident reporting processes were now effective.
- The practice had implemented systems to help them manage risk; we found risk assessments associated with Control of Substances Hazardous to Health (COSHH) required minor improvement.
- The clinical staff provided patients’ care and treatment in line with current guidelines.
- Prescription pad security and was now effective.
- The practice’s quality assurance processes were now in place.
- X-ray justification and quality assurance was ongoing with improvement being monitored regularly.
There were areas where the provider could make improvements. They should:
- Review the practice's policy and the storage of products identified under Control of Substances Hazardous to Health (COSHH) 2002 Regulations to ensure a risk assessment is undertaken.
- Review the storage of emergency medicines requiring refrigeration to ensure they are stored in line with the manufacturer’s guidance and if stored in the fridge that the temperature is monitored and recorded.