Updated 14 June 2019
We undertook a focused inspection of Bupa - Healaugh Park, Yarm on 21 May 2019.
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 remotely by a specialist dental adviser.
We undertook a comprehensive inspection of Bupa - Healaugh Park, Yarm on 4 December 2018 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 Bupa - Healaugh Park, Yarm on our website www.cqc.org.uk.
As part of this inspection we asked:
• Is it well-led?
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 improvements were required.
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 4 December 2018.
Background
Bupa - Healaugh Park is in Yarm and provides NHS and private treatment to adults and children.
The dental practice is sited in a purpose-built building with level access for people in wheelchairs and those with pushchairs. Car parking spaces, including designated spaces for blue badge holders, are available near the practice.
The dental team includes eight associate dentists, eight dental nurses, two dental hygiene therapists, two receptionists and a practice manager. The practice has six treatment rooms.
The practice is owned by a company 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. At the time of our inspection on 21 May 2019, the registered manager at Bupa - Healaugh Park was the practice manager.
During the inspection we spoke with 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 Thursday 8.15am to 7pm
Friday 8.15am to 5pm
Saturday 9am to 3pm
Our key findings were:
- The practice had effective leadership. Systems to help them manage risk to patients and staff had improved.
- The provider had improved their staff recruitment procedures.
- Staff assisting in sedation procedures had completed the appropriate immediate life support training.
- Recommended actions from the X-ray equipment reports were implemented.
- A quality assurance process was underway for the cone beam tomography machine.