Updated 4 March 2020
We undertook a follow up desk-based inspection of Bamford Dental Practice on 13 February 2020. This inspection was carried out to review in detail the evidence of the actions taken and sent to us 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 had remote access to a specialist dental adviser.
We undertook a comprehensive inspection of Bamford Dental Practice on 16 January 2020 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 and was in breach of regulations 17 and 19 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 Bamford Dental Practice on our website www.cqc.org.uk.
As part of this inspection we asked:
• Is it well-led?
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 areas where improvement was required.
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 immediate improvements in relation to the regulatory breaches we found at our inspection on 16 January 2020 and sent evidence of documents that were in place but not available on the inspection day.
Background
Bamford Dental Practice is in Rochdale and provides NHS and private dental care and treatment for adults and children. The practice also provides private dental implants, sedation, endodontics, orthodontics and NHS orthodontic care to children.
There is level access to the practice for people who use wheelchairs and those with pushchairs. A large car park is available, including dedicated parking for people with disabilities.
The dental team includes 12 dentists, 19 dental nurses (two of whom are clinical managers), a treatment co-ordinator, five dental hygiene therapists, an orthodontic therapist, six receptionists and a business manager. The practice has 10 treatment rooms.
The practice is owned by anorganisation and as a condition of registration must have a person registered with the CQC 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 Bamford Dental Practice is one of the partners.
The practice is open:
Monday, Tuesday and Thursday 9am to 5.30pm
Wednesday and Friday 9am to 5pm
Saturday 9am to 12.30pm (by appointment only)
Our key findings were:
- The provider had effective leadership and a culture of continuous improvement.
- Systems to identify risk were reviewed immediately after the initial inspection in January and systems implemented to manage these.
- The recruitment procedures were reviewed to ensure all essential checks were carried out for new employees and agency staff.
- The practice implemented systems to obtain evidence of staff training and competency appropriate to their role.