Updated 25 April 2018
We carried out a follow up inspection on 6 March 2018 at Mr Crawford Black – Church Road.
On 3 January 2018 we undertook an announced comprehensive inspection of this service as part of our regulatory functions. During this inspection we found breaches of the legal requirements.
A copy of the report from our comprehensive inspection can be found by selecting the 'all reports' link for Mr Crawford Black – Church Road on our website at www.cqc.org.uk.
After the comprehensive inspection, the practice wrote to us to say what they would do to meet the legal requirements in relation to the breach.
This report only covers our findings in relation to those requirements.
We revisited Mr Crawford Black – Church Road on 6 March 2018 to confirm whether they had followed their action plan and to check whether they now met the legal requirements in the Health and Social Care Act 2008 and associated regulations. We carried out this announced inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions.
We reviewed the practice against oneof the five questions we ask about services: is the service well-led?
The inspection was led by a CQC inspector who was supported by a specialist dental adviser.
Our findings were:
Are services well-led ?
We found that this practice was providing well-led care in accordance with the relevant regulations.
Background
Mr Crawford Black – Church Road is close to the centre of Bebington and provides dental care and treatment to adults and children on an NHS and privately funded basis.
There is one step at the front entrance to the practice. Car parking is available near the practice. The practice has four treatment rooms.
The dental team includes a principal dentist, an associate dentist, a dental hygienist, four dental nurses, and two receptionists. The team is supported by a practice manager, who is also a registered dental nurse.
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 to the dentists, dental nurses, receptionists and the practice manager. We looked at practice policies, procedures and other records about how the service is managed.
The practice is open:
Monday, Tuesday and Thursday 9.00am to 6.00pm,
(Monday and Tuesday from 08.30am by appointment)
Wednesday and Friday 9.00am to 5.00pm.
Our key findings were:
- The provider had improved their recruitment systems.
- The provider had introduced a system for reporting significant events.
- Meetings were scheduled to give staff an opportunity to feedback about the services they provided.
- The provider had improved their systems to help them manage risk.
- The provider had improved their safeguarding processes. Not all staff were trained in safeguarding.
- The provider had limited means in place to monitor the quality of the service.
There were areas where the provider could make improvements and should:
- Review the practice’s systems for assessing, monitoring and mitigating the various risks arising from the undertaking of the regulated activities, specifically in relation to the risk of a member of staff working with patients prior to a Disclosure and Barring Service check result being received.
- Review the practice's protocols for the completion of dental records taking into account the guidance provided by the Faculty of General Dental Practice regarding clinical examinations and record keeping.
- Review the practice’s complaint handling procedures, and ensure contact details for NHS England are available should patients wish to contact them if they did not wish to complain to the practice directly or if they were not satisfied with the way the practice dealt with their concerns.
- Review the practice’s audit protocols to ensure mandatory audits, such as radiography,are carried out at regular intervals to help improve the quality of service. Staff should also review the carrying out of non-mandatory audits, such as, dental care record keeping, ensure all audits have documented learning points and action plans, where appropriate, and resulting improvements can be demonstrated.
- Review the practice’s systems for monitoring staff training.