Updated 7 January 2019
We undertook a follow up focused inspection of Poundswick Lane Dental Practice on 15 November 2018. 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 carried out by a CQC inspector.
We undertook a comprehensive inspection of Poundswick Lane Dental Practice on 28 June 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 in accordance with the relevant regulations 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 Poundswick Lane Dental Practice on our website www.cqc.org.uk.
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.
As part of this inspection we asked:
• Is it well-led?
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 breach we found at our inspection on 28 June 2018.
Background
Poundswick Lane Dental Practice is in Wythenshawe and provides NHS and private treatment to adults and children.
A ramp is provided for people who use wheelchairs and those with pushchairs. There is a small car park available with additional on street parking available near the practice.
The dental team includes nine dentists, nine dental nurses (two of whom are trainees), a dental hygienist and a receptionist. The practice has five 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 inspection we spoke with the practice manager, and dental nurses including the senior dental nurse. We looked at practice policies and procedures and other records about how the service is managed.
The practice is open:
Monday, Tuesday and Wednesday 9am to 6pm
Thursday and Friday 9am to 5pm
Saturday by prior arrangement.
Our key findings were:
- The practice had infection control procedures which reflected published guidance. The processes for manually cleaning instruments could be improved.
- The practice had thorough staff recruitment procedures. Staff files had been reviewed and now contained all the required information, including vaccination immunity.
- The practice had effective leadership and a culture of continuous improvement.
- Emergency equipment and medicines were available as described in recognised guidance.
- The safety and use of radiography had been reviewed.
- The practice had improved safeguarding training processes.
- The practice had systems to identify and manage risk effectively. Improvements had been made in relation to hazardous substances, Legionella and fire safety.