Updated 31 August 2017
We carried out an announced comprehensive inspection of this practice on 10 January 2017. Breaches of legal requirements were found. After the comprehensive inspection, the practice wrote to us to say what they would do to meet legal requirements in relation to breaches in the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014 (Part 3) Regulation 17: Good governance. We undertook this focused inspection to check that they had followed their plan and to confirm that they now met legal requirements. This report only covers our findings in relation to that requirement. You can read the report from our last comprehensive inspection, by selecting the 'all reports' link for @155 Dental Practice on our website at www.cqc.org.uk.
We carried out an announced follow up inspection on 3 August 2017 to ask the practice the following key question; Are services well-led?
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 dental practice @155 is located in premises situated to the west of Derby city centre. There are two treatment rooms, both of which are located on the ground floor. The practice provides solely private dental treatment. The practice has its own car park for patients to the rear of the premises.
The practice provides regulated dental services to both adults and children. Services provided include general dentistry, dental hygiene, crowns and bridges, oral surgery, implant placement, restoration and root canal treatments.
The practice’s opening hours are – Monday: 8 am to 6 pm; Tuesday: 8 am to 2 pm; Wednesday: 8:30 am to 4:30 pm; Thursday: 8 am to 3 pm; Friday: 8 am to 1 pm
Access for urgent treatment outside of opening hours is by telephoning the practice and following the instructions on the answerphone message.
The principal dentist is registered with the Care Quality Commission (CQC) as an individual. Like registered providers, they are ‘registered persons’. Registered persons 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 has one dentist; one oral surgery specialist, one therapist/ hygienist; two qualified dental nurses; and one receptionist.
Our key findings were:
- The practice had purchased an automated external defibrillator (AED) and all staff had taken part in medical emergencies training.
- The practice had purchased rubber dam kits and was following guidance from the British Endodontic Society in relation to endodontic treatment (root canal treatment).
- A new first aid kit had been purchased.
- Six monthly infection control audits had been completed in line with the Health Technical Memorandum 01-05: Decontamination in primary care dental practices (HTM01-05) published by the Department of Health.
- There was a full range of personal protective equipment (PPE) available within the practice to protect members of staff working in the decontamination room.
- A long handled brush and illuminated magnifying glass as identified in HTM 01-05 were available in the decontamination room.
- The practice had changed its protocol for dealing with matrix bands which made the process safer and ensured matrix bands were not reused.