Updated 27 November 2017
We carried out a follow- up inspection at Rothwell Dental surgery on the 2 November 2017.
We had undertaken an unannounced comprehensive inspection of this service 31 July 2017 as part of our regulatory functions where breaches of legal requirements were found.
After the comprehensive inspection, the practice manager wrote to us to say what they would do to meet the legal requirements in relation to the breaches. This report only covers our findings in relation to that requirement.
We reviewed the practice against two of the five questions we ask about services: is the service safe and well led? You can read the report from our last comprehensive inspection, by selecting the 'all reports' link for Rothwell Dental Surgery on our website at www.cqc.org.uk.
We revisited Rothwell Dental Surgery 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 2 November 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.
To get to the heart of patients’ experiences of care and treatment, we always ask the following questions:
• Is it safe?
• Is it well-led?
These questions form the framework for the areas we look at during the inspection.
Our findings were:
Are services safe?
We found that this practice was providing safe care in accordance with the relevant regulations.
Are services well-led?
We found that this practice was providing well-led care in accordance with the relevant regulations.
Background
Rothwell Dental surgery provides NHS and private treatment to adults and children.
There is level access at the rear of the building for people who use wheelchairs and pushchairs. Car parking spaces are available near the practice.
The dental team includes two dentists, three trainee dental nurses, three dental hygiene therapists and a practice manager who is also a qualified dental nurse.
The practice is owned by an individual who is the principal dentist there. They have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated regulations about how the practice is run.
During the inspection we spoke with the dentist, three trainee dental nurses, one dental hygiene therapist and the practice manager. We looked at practice policies and procedures and other records about how the service is managed.
The practice is open:
Monday, Tuesday, Thursday 9am – 5pm
Wednesday 9am – 6pm
Friday 9am – 3pm
Our key findings were:
- The decontamination process now reflected published guidance. We found the zoning had improved. Decontamination of instruments was now effective. The practice had decluttered work surfaces and floors. Clinical waste segregation was embedded.
- The practice had systems to help them manage risk.
- The practice had implemented suitable safeguarding processes for safeguarding adults and children.
- The practice had not implemented staff recruitment procedures.
- The clinical staff were now aware of current guidelines in relation to delivering better oral health.
- Dental care records were now stored securely.
- Governance arrangements were improving to support the smooth running of the practice.
- The practice management and leadership still required improvement.
There were areas where the provider could make improvements. They should:
- Review the training, learning and development needs of individual staff members at appropriate intervals and ensure an effective process is established for the on-going assessment, supervision and appraisal of all staff.
- Review the practice recruitment policy and procedures to ensure they are suitable and the recruitment arrangements are in line with Schedule 3 of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014 to ensure necessary employment checks are in place for all staff and the required specified information in respect of persons employed by the practice is held.