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Inspection Summary


Overall summary & rating

Updated 17 October 2016

During our announced comprehensive inspection of this practice on the 29 June 2016, we found a breach of legal requirements in relation to the Health and Social Care Act 2008. Following this inspection, the practice wrote to us to say what they would do to meet legal requirements in relation to regulation 17- Good Governance.

We undertook this focused inspection to check that the provider had followed their improvement plan and to confirm that they now met legal requirements. This report only covers our findings in relation to this requirement. You can read the report from our previous comprehensive inspection, by selecting the 'all reports' link for Burleigh Street Dentistry at www.cqc.org.uk

Are services Well-led?

We found that this practice was providing well-led care in accordance with the relevant regulations.

Key findings

  • Overall, we found that adequate action had been taken to address the shortfalls identified at our previous inspection and the provider was now meeting the regulations.

Inspection areas

Safe

No action required

Updated 25 August 2016

We found that this practice was providing safe care in accordance with the relevant regulations.

Staff had received safeguarding training and were aware of their responsibilities regarding protecting children and vulnerable adults. Significant events were recorded and learning from them was shared across the staff team. Risks to staff and patients had been identified and control measures put in place to reduce them.

Emergency medicines were checked to ensure they did not go beyond their expiry dates, however the practice did not have a full range of equipment to deal with common medical emergencies. Not all areas of the practice were visibly clean and hygienic and aspects of the practice’s decontamination processes did not meet national guidance.

Effective

No action required

Updated 25 August 2016

We found that this practice was providing caring services in accordance with the relevant regulations.

Patients commented that the quality of care was very good. Patients told us they were involved in decisions about their treatment and didn’t feel rushed in their appointments. The dental nurse had worked at the practice for over 30 years and it was clear she knew patients well and had built up good working relationships with them. Patient information and data was handled confidentially.

Caring

No action required

Updated 25 August 2016

We found that this practice was providing caring services in accordance with the relevant regulations.

Patients commented that the quality of care was very good. Patients told us they were involved in decisions about their treatment and didn’t feel rushed in their appointments. The dental nurse had worked at the practice for over 30 years and it was clear she knew patients well and had built up good working relationships with them. Patient information and data was handled confidentially.

Responsive

No action required

Updated 25 August 2016

We found that this practice was providing responsive care in accordance with the relevant regulations.

Although the practice was only open three days a week, patients could access appointments at another of the provider’s practices. Emergency slots were available for patients experiencing dental pain. However, limitations of the premises meant that the practice could not meet the needs of wheelchair users or patients with restricted mobility.

There was a clear complaints system and the practice responded appropriately and empathetically to issues raised by patients.

Well-led

No action required

Updated 17 October 2016

We found that adequate action had been taken to address shortfalls in governance that we had identified in our previous inspection. Medical emergency equipment now met national guidelines;

staff had received an appraisal of their performance and staff meetings were held regularly, recruitment procedures were more robust, and infection control had improved.