Updated 29 September 2023
We undertook a follow up focused inspection of Mr & Mrs Odai Dental Practice on 29 August 2023. This inspection was carried out to review 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 who was supported by a specialist dental advisor.
We had previously undertaken a comprehensive inspection of Mr and Mrs Odai Dental Practice on 6 March 2023 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 regulation 17 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 Mr & Mrs Odai dental practice on our website www.cqc.org.uk.
When 1 or more of the 5 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 6 March 2023.
Background
Mr and Mrs Odai Dental Practice is in Doncaster and provides mainly NHS and a small amount of private dental care and treatment for adults and children.
There is step free access to the practice for people who use wheelchairs and those with pushchairs. Car parking spaces are available near the practice on local roads. The practice has made reasonable adjustments to support patients with access requirements, including ramp access and ground floor treatments rooms.
The dental team includes 2 dentists, 3 dental nurses and 1 receptionist. The practice has 2 treatment rooms.
During the inspection we spoke with 2 dentists, 1 dental nurse and the receptionist. We looked at practice policies, procedures and other records to assess how the service is managed.
The practice is open:
Monday, Tuesday and Wednesday 9am to 5:30pm
Thursday 9am to 7pm
Friday 9am to 5pm
Saturday 9am to 1pm
There were areas where the provider could make improvements. They should:
- Improve the security of NHS prescription pads in the practice to ensure there are systems in place to track and monitor their use.
- Implement an effective system to record action taken in response to patient safety alerts, recalls and rapid response reports issued by the Medicines and Healthcare products Regulatory Agency, the Central Alerting System and other relevant bodies, such as UK Health Security Agency and Office for Health Improvement and Disparities.