Updated 21 August 2017
We carried out a follow- up, desk based inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions at Skirsgill Dental surgery on the 25 July 2017.
We had undertaken an announced comprehensive inspection of this service on the 25 May 2017 as part of our regulatory functions where a breach of legal requirements was found.
After the comprehensive inspection, the practice manager 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 that requirement.
We reviewed the practice against one of the five questions we ask about services: is the service well led? You can read the report from our last comprehensive inspection, by selecting the 'all reports' link for Skirsgill Dental Practice on our website at www.cqc.org.uk.
Our findings were:
Are services well-led?
We found that this practice was now providing well-led care in accordance with the relevant regulations.
Background
The practice is situated in an industrial park setting on the outskirts of Penrith Cumbria. The practice offers both NHS and limited private primary care dentistry to both adult patients and children.
Staff employed at the practice include the principal dentist, two dental nurses, one receptionist and the practice manager.
The practice is open:
Monday, Tuesday and Thursday between 9.00am and 5.00pm.
Wednesday the practice is open 10.00am to 6.00pm. Friday the practice opens at 9.00am to 4.00pm.
The practice is owned by an individual. 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.
Our key findings were:
- The practice had completed an infection control audit using a recognised audit tool and a radiograph audit.
- All missing emergency medical equipment had been purchased.
- Staff recruitment procedures have been review and necessary employment checks had been undertaken.
- Staff appraisals had been performed where any training needs were identified. Training was now monitored by the practice manager.
- The practice had addressed the actions identified in their Legionella risk assessment.
- Safety Data Sheets had been obtained for all COSHH products used in the practice.