Updated 2 July 2018
We carried out a focused inspection of Daventry Dental Care on 14 June 2018
The inspection was led by a CQC inspector who had assistance from a dental clinical adviser.
We carried out this inspection to follow up concerns we originally identified during a comprehensive inspection at this practice on 20 December 2017. We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions.
At a comprehensive inspection we always ask the following five questions to get to the heart of patients’ experiences of care and treatment:
- Is it safe?
- Is it effective?
- Is it caring?
- Is it responsive to people’s needs?
- Is it well-led?
When one or more of the five questions is 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 area(s) where improvement was required.
At the previous comprehensive inspection we found the registered provider was providing safe, effective, caring and responsive care in accordance with relevant regulations. We judged the practice was not providing well-led care in accordance with 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 Daventry Dental Care on our website www.cqc.org.uk.
We also reviewed aspects of the key questions of safe and effective as we had made recommendations for the provider relating to these key questions. These particularly related to issues concerning the use of safer sharps, the use of rubber dam for root canal treatment, X-ray audits, staff training in the Mental Capacity Act 2005 and installing an induction hearing loop to assist patients who used a hearing aid. We noted that improvements had been made.
Our key findings were:
- The system and processes for dealing with significant events had been reviewed.
- Risk assessments for Legionella and fire had been completed since the last inspection in December 2017.
- The practice received Medicines and Healthcare Products Regulatory Authority (MHRA) alerts.
- Policies were practice specific.
- Staff files contained all of the information required by Schedule 3 of the Health and Social Care Act 2008 Regulations.
- Audits for key areas of activity had been completed and action plans produced.
There were areas where the provider could make improvements. They should:
- Review its responsibilities to the needs of people with a disability, including those with hearing difficulties and the requirements of the Equality Act 2010.
- Review the practice’s protocols for the use of rubber dam for root canal treatment taking into account guidelines issued by the British Endodontic Society.
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 to put right the shortfalls and deal with the regulatory breach we found at our inspection on 20 December 2017.