Updated 25 February 2016
This inspection was planned to check whether the practice was meeting the legal requirements and regulations associated with the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014.
We carried out a review of this service on 01 February 2016. This review was carried out to check that improvements to meet legal requirements planned by the practice after our comprehensive inspection on 16 July 2015 had been made.
We reviewed the practice against one of the five questions we ask about services: is the service well - led? This is because the service was not previously meeting one of the legal requirements.
The review was led by a CQC inspector who had access to remote advice from a dental specialist advisor.
During our review, we spoke with the principal dentist and checked that the provider’s action plan had been implemented. We reviewed a range of documents including:
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The infection prevention and control audits undertaken August 2015 and January 2016
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Summary of the Record Keeping and X-ray Audit undertaken 2015
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Legionella Risk Assessment and Certificate
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Evidence of courses attended
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The template for checking emergency medicines
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Confirmation of purchase of portable suction machine and AED (automated external defibrillator)
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Confirmation of Hepatitis B immunisation for the dental nurse
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Staff meeting agendas (August 2015 – January 2016)
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Log Book of received MHRA alerts, noting an any action required
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Staff Personnel Record Template for recruitment and training
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Fire Risk Assessment
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Practice Business Continuity Plan and emergency contact numbers