Updated 10 November 2017
We carried out a focused inspection of Hewlett Road Dental Practice on 5 October 2017.
During the focused inspection of Hewlett Road Dental Practice on 5 October 2017 we saw evidence of a concerning nature which required the focused inspection to change to a comprehensive inspection.
The inspection was led by a CQC inspector, who was supported by a specialist dental adviser.
We carried out the inspection to follow up concerns we originally identified during a comprehensive inspection at this practice on 10 February 2017 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 to people’s needs?
- Is it well-led?
When one or more of the five questions is not met we require the service to make improvements and send us an action plan. We then inspect again after a reasonable interval, focusing on the areas where improvement was required.
At the previous comprehensive inspection we found the registered provider was providing safe, effective, caring and responsive care in accordance with relevant regulations. We judged the practice was not providing well-led care in accordance with regulations 17 and 18 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 Hewlett Road Dental Surgery on our website www.cqc.org.uk.
We reviewed the key question of well-led as we had made recommendations for the provider relating to this key question.
Our findings were:
Are services safe?
We found this practice was not providing safe care in accordance with the relevant regulations.
Are services effective?
We found this practice was providing effective care in accordance with the relevant regulations.
Are services caring?
We found this practice was providing caring services in accordance with the relevant regulations.
Are services responsive?
We found this practice was providing responsive care in accordance with the relevant regulations.
Are services well-led?
We found this practice was not providing well-led care in accordance with the relevant regulations.
The provider had made insufficient improvements to put right the shortfalls and had not dealt with the regulatory breaches we found at our inspection on 10 February 2017.
Background
Hewlett Road dental surgery is in Cheltenham and provides private treatment to patients of all ages.
There is no level access for people who use wheelchairs and pushchairs. Car parking spaces, including those for patients with disabled badges, are available near the practice.
The dental team includes two dentists, one dental nurse, two dental hygienists and one cleaner. The practice has three treatment rooms.
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.
On the day we spoke with two patients. This information gave us a positive view of the practice.
During the inspection we spoke with two dentists, one dental nurse, one dental hygienist and one locum dental nurse. We looked at practice policies and procedures and other records about how the service is managed.
The practice is open: Monday to Thursday 8am to 5:30pm and Friday 8am to 4pm.