Updated 10 August 2022
We undertook a follow up desk-based focused inspection of Bell Green Dental Surgery on 20 July 2022. 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 led by a CQC inspector who was supported by a specialist dental adviser.
We undertook a comprehensive inspection of Bell Green Dental Surgery on 12 April 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 safe or well-led care and was in breach of regulations 12 and 17 of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014. We undertook a focused follow up inspection of Bell Green Dental Surgery on 27 April 2022 and found that some improvements had been made but the 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 Bell Green Dental Surgery 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 27 April 2022.
Background
Bell Green Dental Surgery is in Coventry and provides NHS and private dental care and treatment for adults and children.
There is level access to the practice for people who use wheelchairs and those with pushchairs. Car parking spaces, including dedicated parking for disabled people, are available near the practice. The practice has made some adjustments to support patients with additional needs.
The dental team includes three dentists (including the provider), two trainee dental nurses, and two receptionists. There is a practice manager who also undertakes dental nursing and reception duties. The practice has three treatment rooms.
During the inspection we spoke with the provider 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 to Friday from 9am to 5pm
Saturday from 10am to 12pm
Sunday from 10am to 12pm
Full details of the regulation/s the provider was not meeting are at the end of this report.
There were areas where the provider could make improvements. They should:
- Implement practice protocols and procedures to ensure staff are up to date with their mandatory training and their continuing professional development.
- Improve the practice's systems for assessing, monitoring and mitigating the various risks arising from the undertaking of the regulated activities. In particular, take action to ensure that a fire risk assessment is completed by a competent person and that any actions identified are addressed.