Updated 13 June 2018
We carried out a follow-up inspection at Mayfield Dental Care on 26 April 2018.
We had undertaken an announced comprehensive inspection of this service on the 5 October 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 Mayfield Dental Care on our website at www.cqc.org.uk.
We revisited Mayfield Dental Care as part of this review and checked whether they now met the legal requirements. We carried out this announced inspection on 26 April 2018 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 had remote access to 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
Mayfield Dental Care is in Atherton and provides NHS and private treatment to adults and children.
There is access via a small step for people who use wheelchairs and pushchairs. Car parking spaces, including for patients with disabled badges, are available near the practice.
The dental team includes five dentists, four dental nurses (two of whom are trainees), two dental hygiene therapists, a receptionist and a practice manager. The practice has three treatment rooms.
The practice is owned by a partnership 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 Mayfield Dental Care was the practice manager.
During the inspection we spoke with the practice manager. We looked at practice policies and procedures and other records about how the service is managed.
The practice is open:
Monday to Friday 8.45am to 1pm and 2pm to 5pm
Our key findings were:
- The practice appeared clean, uncluttered and well maintained.
- The practice staff had infection control procedures which reflected published guidance.
- Staff knew how to deal with emergencies. Appropriate medicines and life-saving equipment were available.
- The practice had improved systems to help them assess and manage risk.
- The practice had effective leadership and culture of continuous improvement.
- Staff felt involved and supported and worked well as a team.
- The practice staff had suitable information governance arrangements.
There were areas where the provider could make improvements. They should:
- Review staff training to ensure that all the staff have received training, to an appropriate level, in the safeguarding of children and vulnerable adults.