Updated 8 March 2018
We carried out a follow-up inspection at Strensall dental practice on 16 February 2018.
We had undertaken an announced comprehensive inspection of this service on 24 October 2017 as part of our regulatory functions where a breach of legal requirements was found.
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 checked whether they had followed their action plan to confirm that they now met the legal requirements.
We reviewed the practice against one of the five questions we asked: are the services well led? You can read the report from our last comprehensive inspection, by selecting the 'all reports' link for Strensall dental practice on our website at www.cqc.org.uk.
We revisited Strensall dental practice as part of this review and checked whether they now met the legal requirements. We carried out this announced inspection on 16 February 2018 under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. We planned the inspection to check whether the registered provider was meeting the legal requirements in the Health and Social Care Act 2008 and associated regulations.
The inspection was led by a CQC inspector who was supported by a specialist dental adviser.
• Is it well-led?
This question forms the framework for the areas we look at during the inspection.
Our findings were:
Are services well-led?
We found that this practice was providing well-led care in accordance with the relevant regulations.
Background
Strensall dental practice is in Strensall, York and provides private treatment to adults and children and has a NHS orthodontic contract for children.
There is ramp access for people who use wheelchairs and pushchairs. Car parking spaces are available at the front and rear of the practice.
The dental team includes three dentists, five dental nurses (one of whom is a trainee), one dental hygienist and a practice manager who is also a receptionist.
The practice has two surgeries, a dedicated room for taking Orthopantomogram (OPG) X-rays, a decontamination room for sterilising dental instruments which is also used as an X-ray room, a kitchen and a general office.
The practice is owned by a partnership and as a condition of registration must have a person registered with the Care Quality Commission as the registered manager. Registered managers have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated regulations about how the practice is run. The registered manager at Strensall dental practice is one of the principal dentists.
During the inspection we spoke with registered manager and the practice manager. We looked at practice policies and procedures and other records about how the service is managed.
The practice is open:
Monday, Wednesday, Thursday and Friday 9am – 5:30pm
Tuesday 9am – 7pm
Our key findings were:
- Staff were familiar with the need to report and investigate significant events.
- A process was in place to ensure equipment validation and manual instrument cleaning was carried out in line with published guidance.
- Appropriate action was taken to ensure emergency medicines were stored correctly.
- The practice reviewed their risk management processes and made improvements as a result.
- Actions had been taken to ensure the security of patient care records.
- The practice had suitable safeguarding processes and staff knew their responsibilities for safeguarding adults and children. Awareness of external reporting was now embedded.
- A process had been implemented to ensure appropriate staff disclosure and barring (DBS) checks were in place.
- Management processes and leadership were improved.