Updated 17 July 2018
We carried out a focused inspection of Mrs Karen Horne – Windlestone Road dental practice on 02 July 2018.
The inspection was led by a CQC inspector who was supported by a specialist dental adviser.
We undertook a comprehensive inspection of Mrs Karen Horne – Windlestone Road dental practice on 01 May 2018 under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions where we found the registered provider was not providing well-led care in accordance with Regulation 17 ‘good governance’ 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 Mrs Karen Horne – Windlestone Road on our website www.cqc.org.uk.
When one or more of the five questions is 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.
We undertook a follow up focused inspection of Mrs Karen Horne – Windlestone Road dental practice on 02 July 2018. This inspection was carried out to review in detail the actions taken by the practice to improve the quality of care and to confirm that the practice was now meeting legal requirements.
As part of this inspection we asked:
• Is it well-led?
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 improvements to address the shortfalls identified and responded to the regulatory breach we found at our inspection on 01 May 2018.
Background
Mrs Karen Horne - Windlestone Road practice is in Billingham and provides NHS and private treatment to patients of all ages.
The practice is situated on the first floor of a building, with entrance through the ground floor. Car parking spaces, including for blue badge holders, are available near the practice.
The dental team includes a principal dentist, two dental nurses, a dental therapist and a receptionist. The practice has two treatment rooms.
The practice is owned by an individual who is the principal dentist. 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.
The practice was not open for dental treatment on the inspection day.
During the inspection we spoke with the principal dentist and a dental nurse. Most other staff members had prior arranged annual leave. We looked at practice policies and procedures and other records about how the service is managed.
The practice is open:
Monday, Tuesday and Wednesday 9am to 5.30pm
Thursday 9am to 6pm
Friday 8.30am to 5pm
Our key findings were:
- The practice had implemented and improved their systems to help them manage risk.
- The practice had effective leadership and a culture of continuous improvement was evident.
- The principal dentist had effective staff recruitment procedures.
- We noted some staff training documents were not available during the inspection on 01 May 2018. These were not available to view at our follow-up inspection.
There were areas where the provider could make improvements. They should:
- Review the practice’s training system and ensure detailed records are maintained for all staff.