Updated 20 July 2023
We undertook a follow up inspection of Cotman House Dental Surgery on 27 June 2023. 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 provider was now meeting legal requirements.
We had previously undertaken a comprehensive inspection of the practice on 11 October 2022 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 Cotman House Dental Surgery 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:
We found this practice was providing well-led care in accordance with the relevant regulations. The provider had made effective improvements in relation to the regulatory breach we found at our previous inspection. In general improvements were noted in audit systems, medicines management and staff recruitment.
These improvements now need to be embedded and sustained in the long run.
There were areas where the provider could make improvements. They should
- Implement an effective system for recording, investigating and reviewing incidents or significant events with a view to preventing further occurrences and ensuring that improvements are made as a result.
Background
Cotman House Dental Practice provides mostly private dental care and treatment for adults and children. The practice is not accessible for wheelchair users.
Car parking spaces are available at nearby public car parks.
The dental team includes a dentist, a nurse, a practice manager and a receptionist.
During the inspection we spoke with the dentist, the nurse and the practice manager. We looked at practice policies and procedures and other records about how the service is managed.
The practice is open on Tuesdays, Thursdays and Fridays from 9.40am to 5.30pm, and on Wednesdays from 10.20am to 6pm.