Updated 30 November 2018
We undertook a follow up desk based inspection Horsforth Smile Clinic on 14 November 2018. 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 completed by a CQC inspector.
We undertook a comprehensive inspection of The Dental Practice on 20 August 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 in accordance with the relevant regulations 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 Horsforth Smile Clinic 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 20 August 2018.
Background
Horsforth Smile Clinic is in the centre of Horsforth and provides NHS and private dental treatment to adults and children.
There is level access for people who use wheelchairs and those with pushchairs. Car parking and public transport facilities are available near the practice.
The dental team includes four dentists (one of whom is a foundation dentist), five dental nurses (one of whom is a trainee), one dental hygiene therapist, a practice manager and a receptionist. The practice has five treatment rooms.
Horsforth Smile Clinic is a training practice for trainee dentists.
The practice is owned by an individual who is the principal dentist there. They have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated regulations about how the practice is run.
The practice is open: Monday, Wednesday and Thursday 9am-5:30pm, Tuesday 9am-7:30pm, Friday 9am-2:00pm.
Our key findings were:
- The practice had systems to identify and manage risk effectively, including fire safety, electrical and gas safety.
- The practice had improved safeguarding vulnerable adults and children processes.
- A revised recruitment policy was now in place and DBS checks had been completed for all staff.
- A system was in place to audit infection prevention and control.
Other improvements were;
- The sharps risk assessment had been reviewed and revised.
- Prescription pads were now stored securely at the practice
- CCTV signage was now in place to ensure patients were aware they were being recorded.