01/02/2022
During an inspection looking at part of the service
We undertook a focused follow up inspection of Swanwick Dental Practice on 1 February 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 carried out by a CQC inspector and a specialist dental advisor.
We undertook a focused inspection of Swanwick Dental Practice on 7 October 2021 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 and well led care and was in breach of regulation 12 and 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 Swanwick Dental Practice 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. 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 safe?
- Is it well-led?
Our findings were:
Are services safe?
We found this practice was providing safe care in accordance with the relevant regulations.
The provider had made improvements to put right the shortfalls and had responded to the regulatory breach we found at our inspection on 7 October 2021.
Are services well-led?
We found this practice was providing well-led care in accordance with the relevant regulations. The provider had made improvements to put right the shortfalls and had responded to the regulatory breach we found at our inspection on 7 October 2021.
Background
Swanwick Dental Practice is in Alfreton, Derby and provides private dental care for adults and children. There is level access to the practice for people who use wheelchairs and those with pushchairs. Car parking spaces are available near the practice.
The dental team includes one dentist and two dental nurses. The practice has two treatment rooms, one is currently out of service.
During the inspection we spoke with the principal dentist and the dental nurses. We looked at practice policies and procedures and other records about how the service is managed.
The practice is open:
Monday and Thursday 8:30am to 5:30pm
Tuesday 9am to 7pm
Wednesday and Friday 8:30am to 1pm.
Our key findings were:
- System were in place to ensure the fire safety of the practice.
- Emergency medical equipment was present as required in guidance.
- Systems to ensure accountability of medicines kept for dispensing were in place.
- Infection prevention and control procedures were completed in line with guidance.
- Medical device and patient safety alerts were received and reviewed for further action.
- Dental treatment was provided in line with current guidelines.
- A fixed wiring electrical survey and report was in place.
- The disposal of gypsum waste was in line with current regulations.
- Systems were in place to ensure staff training requirements were met.
- Safer sharps procedures were risk assessed in line with current regulations.
- Staff had adequate immunity and protection from the Hepatitis B virus.
- The practice had systems to help staff manage risk to patients and staff.
- Systems were in place to report, investigate, record and discus learning and improvement from significant incidents and events. .
- Appropriate Disclosure and Barring Service checks were in place for clinical staff.
- Safeguarding systems were in line with guidance for vulnerable adults and children.
- Local rules for using X-ray equipment was in line with current Regulations.
- The practice had effective leadership and a culture of continuous improvement.
- The use of Closed-Circuit Television was in line with Information Commissioner’s Office and Data Protection.
- Systems were in place to ensure referrals to external healthcare providers were effectively monitored.