Updated 28 March 2019
We undertook a focused inspection of The Butts Dental Practice on 21 February 2019. 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 The Butts Dental Practice on 19 October 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 The Butts Dental Practice 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 breach we found at our inspection on 19 October 2018.
Background
The Butts Dental Practice is in Brentford in the London Borough of Hounslow and provides NHS and private treatment to adults and children. The Practice is a training practice and currently has one trainee dentist.
The practice is set out over four floors. There is level access for people who use wheelchairs and those with pushchairs via a lift to the lower basement entrance. The treatment rooms in the basement are accessible for people with restricted mobility and those with pushchairs.
The dental team includes seven dentists, seven dental nurses, two dental hygienists, two receptionists and a practice manager. The practice has eight treatment rooms.
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 The Butts Dental Practice is one of the principal dentists
During the inspection we spoke with the two principal dentists, one dental nurse, and the practice manager. We looked at practice policies and procedures and other records about how the service is managed.
The practice is open:
Our key findings were:
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Improvements had been made with regards to obtaining and storing training details. More specifically safeguarding certificates were available for all staff records we reviewed.
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Improvements had been made with recruitment processes. All relevant documents were available on the staff record we reviewed (new member of staff who joined since our last inspection).
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Certificates and documentation relating to risk assessments, gas safety and fire safety were filed appropriately and could be obtained in a timely manner.
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The COSHH folder was up to date and accessible to staff
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Improvements had been made in relation to recording of sedation procedures. A sedation policy was in place and procedures were being recorded appropriately in dental care records.
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Audits were being undertaken and they were complete with areas for improvements identified and clear records of results.
There were areas where the provider could make improvements. They should:
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Review the practice's protocols for monitoring and recording the fridge temperature to ensure that medicines and dental care products are being stored in line with the manufacturer’s guidance.