Background to this inspection
Updated
20 August 2015
We carried out an inspection of this service under Section 60 of the Health and Social Care Act 2008 on 20 February 2015 as part of our regulatory functions. This inspection was planned to check whether the provider was meeting the legal requirements and regulations associated with the Health and Social Care Act 2008 and to look at the overall quality of the service. Breaches of legal requirements were found. As a result we undertook a desk based focused inspection on 29 June 2015 to follow up on whether action had been taken to deal with the breaches.
The inspection was led by a CQC inspector who had access to remote advice from a specialist advisor. We did not speak with any stakeholders or patients during this inspection.
Updated
20 August 2015
We carried out an inspection of this service under Section 60 of the Health and Social Care Act 2008 on 20 February 2015 as part of our regulatory functions. This inspection was planned to check whether the provider was meeting the legal requirements and regulations associated with the Health and Social Care Act 2008 and to look at the overall quality of the service. Breaches of legal requirements were found. As a result we undertook a desk based focused inspection on 29 June 2015 to follow up on whether action had been taken to deal with the breaches.
During our previous inspection on the 20 February 2015 we found the following:-
- We found the compressor and some X-ray equipment had not been maintained and serviced within appropriate timescales. This meant we could not be assured of their safety.
- The quality of the service was not systematically or regularly reviewed
- We had concerns the practice complaints procedure was not robust as we found three different complaints policies in current use.
We conducted a desk based focused inspection. This means the provider was able to send us evidence of the action taken to address the issues previously found rather than visiting the practice.
During this inspection we found:-
- The compressor had been recently serviced
- Three of the four x-ray machines were compliant with the maintenance schedules. However, the forth x-ray machine within the hygienist room was no longer in use. The practice would be required to send us evidence of the assessment and servicing of this x-ray machine before its future use.
- A patient questionnaire had been designed and was ready to be used and the quality of the service was reviewed by several audits
The practice was now using only one complaints procedure