Updated 19 March 2019
We undertook a follow up desk-based inspection of Surrey Docks Dental Practice on 12 March 2019. This inspection was carried out to review in detail the actions taken by the registered provider to improve the quality of care and to confirm that the practice was now meeting legal requirements.
The inspection was led by a CQC inspector.
We undertook a comprehensive inspection of Surrey Docks Dental Practice on 22 November 2018 under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. We found the registered provider was not providing well led care and was in breach of regulations 17 Good governance and regulation 19: Fit and proper persons employed 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 Surrey Docks Health Centre on our website www.cqc.org.uk.
• Is it well-led?
When one or more of the five questions are 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.
Our findings were:
Are services well-led?
We found this practice was providing well-led care in accordance with the relevant regulations.
The provider had made improvements in relation to the regulatory breaches we found at our inspection on 22 November 2018.
Background
Surrey Docks Dental Practice is in the London Borough of Southwark and provides NHS and private treatment to patients of all ages.
There is level access for people who use wheelchairs and those with pushchairs.
The dental clinical team includes a principal dentist, three associate dentists, a dental hygienist, and four qualified dental nurses. The clinical team is supported by three receptionists and a practice manager. The practice has four 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.
During the desk-based inspection we spoke with the practice manager and the receptionist. We checked practice policies and procedures and other records about how the service is managed.
The practice is open at the following times:
Monday: 8.30am to 8pm
Tuesday and Thursday: 8.30am to 6pm
Wednesday: 9am to 7pm
Friday: 8.30am to 5pm
Saturday: 9am to 3pm
Appointments are not available between 1pm to 2pm Monday to Friday.
Our key findings were:
- The practice infection control procedures were in line with published guidance. Staff undertook appropriate infection prevention and control training and audits were carried out to monitor infection control procedures.
- There were suitable systems in place to deal with medical emergencies. The recommended life-saving equipment and medicines were available and staff had completed training in medical emergencies.
- The practice had made improvements to ensure risks were suitably identified, assessed, monitored and mitigated. These related to having effective processes for the management of materials and equipment, staff recruitment, immunisation, appraisal and training.
- The practice had made improvements to their safeguarding processes and staff had up to date training for safeguarding adults and children.
- Improvements had been made to the practice staff recruitment procedures and the appropriate and essential checks were carried out when employing new staff.
- There was effective leadership, and improvements had been made to the arrangements for monitoring the quality and safety of the services provided.
- The arrangements for assessing and minimising risks associated with lone working had been reviewed and improved.