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Inspection Summary


Overall summary & rating

Updated 3 March 2017

During our announced comprehensive inspection of this practice on 20 June 2016 we found breaches of legal requirements of to the Health and Social Care Act 2008 in relation to regulation 17- Good Governance, and regulation 19- Fit and proper persons employed.

We undertook this focused inspection to check that the provider now met legal requirements. This report only covers our findings in relation to these requirements. You can read the report from our previous comprehensive inspection by selecting the 'all reports' link for Bottisham Dental Practice 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 effective action had been taken to address the shortfalls identified at our previous inspection and the provider was now compliant with the regulations.

Inspection areas

Safe

No action required

Updated 30 September 2016

We found that this practice was providing safe care in accordance with

the relevant regulations.

Accidents were recorded and actioned although there was no system in place to enable actions to be monitored or followed up. Staff were not clear about identifying significant events and incidents and although action had been taken in response to some events, there was no established system to ensure investigations, actions and learning were completed and shared. The practice had not signed up to receive electronic safety alerts from the Medicines and Healthcare products Regulatory Agency (MHRA) alerts although they took actions from alerts received from local commissioners. There were clear guidelines in place for reporting safeguarding concerns and staff had received relevant training. Recruitment procedures were in place although records showed that some recruitment checks were not completed.

Emergency medicines and equipment were available although some items were not in line with recommended guidelines. The practice had good infection control procedures in place to ensure that patients were protected from potential risks. Equipment used in the decontamination process was maintained by a specialist company and regular checks were carried out to ensure equipment was working properly and safely. X-rays equipment was well maintained and record keeping in relation to X-rays clearly documented.

Effective

No action required

Updated 30 September 2016

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

Consultations were carried out in line with best practice guidance from the National Institute for Health and Care Excellence (NICE) and the Faculty of General Dental Practice Guidelines, a professional membership body that supports standards of dentistry practice. Patients received a comprehensive assessment of their dental needs including taking a medical history. Explanations were given to patients in a way they understood. Risks, benefits, options and costs were explained. Patients were referred to other services in a timely manner and staff followed appropriate guidelines for obtaining patient consent. However, they needed to review guidelines relating to legal guardianship and consent for children as well as the Mental Capacity Act 2005.

The staff were able to access professional training and development appropriate to their roles and an appraisal process was in place. However, systems to monitor the completion of training required further development. Staff were registered with the General Dental Council (GDC) and were meeting the requirements of their professional registration

Caring

No action required

Updated 30 September 2016

We found that this practice was providing caring services in accordance with

the relevant regulations.

Staff treated patients with dignity and respect and ensured their privacy was maintained. Patient information and data was handled confidentially. Patients told us that staff were very considerate, listened to their needs and put them at ease. Treatment was clearly explained to patients and they were provided with treatment plans and costs. Patients were given time to consider their treatment options and felt involved in their care and treatment.

Responsive

No action required

Updated 30 September 2016

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

Appointment times met the needs of patients and waiting times were kept to a minimum. Information about emergency treatment was made available to patients. A practice leaflet was available in reception to explain to patients about the services provided. The service was accessible to patients with a disability and patients who had difficulty understanding care and treatment options were supported. However, not all staff understood their responsibilities in relation to Gillick competency and the Mental Capacity Act 2005. The practice had a complaints policy to deal with complaints in an open and transparent way and apologise when things went wrong. No complaints had been received.

Well-led

No action required

Updated 3 March 2017

We found that effective action had been taken to address shortfalls we had identified in our previous inspection. Medical emergency equipment and medicines now met national guidelines; dentists used a safer sharps system to protect themselves from injury; significant events were better recorded; staff had a good understanding of the Mental Capacity Act and recruitment procedures were more robust.