Updated 30 August 2017
We carried out a follow- up, desk based inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions at Cadis Practice Limited on the 8 August 2017.
We had undertaken an unannounced comprehensive inspection of this service on the 6 March 2017 as part of our regulatory functions where a breach of legal requirements was 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 those requirements.
We reviewed the practice against two of the five questions we ask about services: is the service safe and is the service well led? You can read the report from our last comprehensive inspection, by selecting the 'all reports' link for Cadis Practice Limited on our website at www.cqc.org.uk.
Our findings were:
Are services safe?
We found that this practice was now providing safe care in accordance with the relevant regulations. The improvements needed had been made.
Are services well-led?
We found that this practice was now providing well-led care in accordance with the relevant regulations. The improvements needed had been made.
Background
Cadis Practice Limited is located in South Shore, Blackpool and provides private treatment to adults and children. The services includes preventative advice and treatment routine restorative dental care, dental implants and both inhalation and intravenous sedation. It is also known as the Cosmetic and Dental Implant Surgery.
Wheelchair users or pushchairs can access the practice by alerting the staff via a low level bell and using a portable ramp at the front of the practice. Car parking spaces are available outside the practice.
The dental team is comprised of the principal dentist, a dental nurse who also acts as the practice manager, one trainee dental nurses (one of which is a trainee), a dental hygienist and a receptionist.
The practice has two ground floor surgeries, a dedicated room for taking orthopantomogram (OPG) X-rays, a decontamination room, a staff room/kitchen and a general office.
The practice is open:
Monday 9am - 6pm
Tuesday 9am - 1pm
Friday 9am – 5pm
Our key findings were:
- The practice had completed an infection control audit using a recognised audit tool and a radiograph audit.
- All missing emergency medical equipment had been purchased.
- Staff recruitment procedures have been review and necessary employment checks had been undertaken.
- Dates for staff appraisals had been identified. Training needs will be identified at appraisal. Training was now monitored by the practice manager.
- The practice had addressed the actions identified in their Legionella risk assessment.
- Safety Data Sheets had been obtained, and risk assessments undertaken, for all COSHH products used in the practice.
- Policies and procedures for the safeguarding of children and adults, infection prevention and control and the reporting of incidents and accidents had been updated.
- Fire safety checks were recorded
- Decontamination processes were validated and results recorded.