Updated 7 February 2018
We carried out a follow-up inspection at The Cosmetic Dental Practice Limited on 21 December 2017.
We had undertaken an announced comprehensive inspection of this service on the 27 June 2017 as part of our regulatory functions where a breach of legal requirements was found.
After the comprehensive inspection, the practice wrote to us to say what they would do to meet the legal requirements in relation to the breach. This report only covers our findings in relation to those requirements. We checked whether they had followed their action plan to confirm that they now met the legal requirements.
We reviewed the practice against one of the five questions we ask about services: are the services well led? You can read the report from our last comprehensive inspection, by selecting the 'all reports' link for The Cosmetic Dental Practice Limited on our website at www.cqc.org.uk.
We revisited The Cosmetic Dental Practice Limited as part of this review and checked whether they now met the legal requirements. We carried out this announced inspection on 21 December 2017 under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. We planned the inspection to check whether the registered provider was meeting the legal requirements in the Health and Social Care Act 2008 and associated regulations.
We reviewed the practice against oneof the five questions we ask about services: is the service well-led?
The inspection was led by a CQC inspector who was supported by a specialist dental adviser.
Our findings were:
Are services well-led?
We found that this practice was providing well-led care in accordance with the relevant regulations.
Background
The Cosmetic Dental Practice Limited is in Grimsby and provides NHS and private treatment to adults and children.
There is level access for people who use wheelchairs and pushchairs. Car parking spaces including one for patients with disabled badges are available adjacent to the practice.
The dental team includes three dentists, three dental nurses (one of whom is a trainee), one dental hygiene therapist and a practice manager (who is also a qualified dental nurse). The practice has two treatment rooms.
The practice is owned by a company and as a condition of registration must have a person registered with the Care Quality Commission 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 The Cosmetic Dental Practice Limited is the compliance advisor.
During the inspection we spoke with one dentist, two dental nurses, the practice manager and the registered manager. We looked at practice policies and procedures and other records about how the service is managed.
The practice is open:
Monday to Friday from 9:00am to 5:00pm
Saturday from 10:00am to 2:00pm
Our key findings were:
- The practice had improved their systems in relation to recruitment and medical emergencies.
- The practice had made some improvements with regards to risk management. Further improvements were needed in relation to the risks associated with Legionella and the Control of Substance Hazardous to Health (COSHH).
- Audits of X-rays and infection prevention and control had been carried out. Improvements were required to the way these audits were completed.
- Not all policies had been amended to reflect the individual nature of the practice.
There were areas where the provider could make improvements and should:
- Review its responsibilities as regards to the Control of Substance Hazardous to Health (COSHH) Regulations 2002 and, ensure all documentation is up to date and staff understand how to minimise risks associated with the use of and handling of these substances.
- Review the practice’s audit protocols of various aspects of the service, such as radiography and infection prevention and control.
- Review the practice's policies and ensure they are specific to the location.