Updated 14 June 2019
We undertook a follow-up focused inspection of Mrs H Burns Dental Surgeon on 28 May 2019. This inspection was carried out to review in detail the actions taken by the provider to improve the quality of care, and to confirm whether the practice was now meeting legal requirements.
The inspection was led by a CQC inspector who was supported by a specialist dental adviser.
We undertook a comprehensive inspection of Mrs H Burns Dental Surgeon on 29 January 2019 under section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. At a comprehensive inspection we always ask the following five questions to get to the heart of patients’ experiences of care and treatment:
• Is it safe?
• Is it effective?
• Is it caring?
• Is it responsive?
• Is it well-led?
We found the provider was not providing safe, effective and well-led care, and was in breach of regulations 9, 12, 15 and 17 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 H Burns Dental Surgeon on our website www.cqc.org.uk.
When one or more of the five questions are not met we require the provider to make improvements. We then inspect again after a reasonable time interval, focusing on the areas in which improvement was necessary.
As part of this inspection we asked:
• Is it safe?
• Is it effective?
• Is it well-led?
Our findings were:
Are services safe?
We found this practice was providing safe care in accordance with the relevant regulations.
The provider had made improvements in relation to the regulatory breaches we identified at our inspection on 29 January 2019.
Are services effective?
We found this practice was providing effective care in accordance with the relevant regulations.
The provider had made improvements in relation to the regulatory breach we identified at our inspection on 29 January 2019.
Are services well-led?
We found this practice was providing well-led care in accordance with the relevant regulations.
The provider had made improvements in relation to the regulatory breach we identified at our inspection on 29 January 2019.
Background
Mrs H Burns Dental Surgeon is located in a residential area and provides NHS and private dental care for adults and children.
There is level access to facilitate entrance to the practice for people who use wheelchairs and for people with pushchairs. Car parking is available outside the practice.
The dental team includes the principal dentist, two trainee dental nurses and a receptionist/dental nurse. The practice has one treatment room.
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 to the dentist, one of the trainee dental nurses and the receptionist/dental nurse. We looked at practice policies and procedures and other records about how the service is managed. We also reviewed the provider’s action plan and evidence sent to us to support the action plan.
The practice is open:
Monday to Friday 9.00am to 5.30pm.
The practice is closed for lunch between 12.00 and 2.00pm.
Our key findings were:
- The practice had infection control procedures in place which reflected published guidance.
- Staff had completed safeguarding training and knew their responsibilities for safeguarding adults and children.
- All the recommended medical emergency equipment was available.
- The provider had robust staff recruitment procedures in place.
- Patients’ care and treatment was provided in line with current guidelines.
- The provider had improved the practice’s systems for managing risk.
- Staff felt involved and supported and worked well as a team.
- The provider had improved arrangements in place for monitoring staff training. Staff had undertaken refresher training where necessary.
- The provider had introduced measures to ensure good governance in the longer term.