Archived: Mr Roopesh Singh

We undertook a follow up focused inspection of Mr Roopesh Singh on 4 March 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 Mr Roopesh Singh on 11 November 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, effective 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. You can read our report of that inspection by selecting the 'all reports' link for Mr Roopesh Singh dental practice on our website www.cqc.org.uk.

As part of this inspection we asked:

• Is it safe?

• Is it effective?

• Is it well-led?

When one or more of the three 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.

Our findings were:

Are services safe?

We found this practice was not providing safe care in accordance with the relevant regulations.

The provider had made insufficient improvements to put right the shortfalls and had not responded to all of the regulatory breaches we found at our inspection on 11 November 2021.

Are services effective?

We found this practice was not providing effective care in accordance with the relevant regulations.

The provider had made insufficient improvements to put right the shortfalls and had not responded to all of the regulatory breaches we found at our inspection on 11 November 2021

Are services well-led?

We found this practice was not providing well-led care in accordance with the relevant regulations.

The provider had made insufficient improvements to put right the shortfalls and had not responded to all of the regulatory breaches we found at our inspection on 11 November 2021

Background

Mr Roopesh Singh, known as Crescent Dental Surgery, is in Spalding, Lincolnshire and provides private dental treatment for adults and children.

The practice is not accessible to people with reduced mobility as access is via a set of stone steps. The practice is located on a narrow road so parking is not available although there are several car parks a short walk away.

The dental team includes one dentist, one dental nurse and a practice manager. The practice has one treatment room and a dedicated decontamination room.

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.

During the inspection we spoke with the dentist, the dental nurse, 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, Tuesday and Friday from 9.15am to 5.30pm

Thursday from 9.15am to 1pm

Our key findings were:

• The provider had not made sufficient progress to ensure care and treatment is provided in a safe way to patients.

• The provider had not made sufficient progress to improve the practice’s arrangements for ensuring good governance and leadership are sustained in the longer term.

• A system of checks of medical emergency equipment and medicines taking into account the guidelines issued by the Resuscitation Council (UK) and the General Dental Council had been implemented but it was not effective.

• The provider had taken robust and effective action to implement recommendations in the practice's fire safety risk assessment and ensure ongoing fire safety for all people at the practice.

• Practice protocols and procedures to ensure staff are up to date with their mandatory training and their continuing professional development, were improved but still not effective.

We identified regulations the provider was not meeting. They must:

• Improve the practice’s arrangements for ensuring good governance and leadership are sustained in the longer term.

• Establish effective systems and processes to ensure good governance in accordance with the fundamental standards of care.

• Ensure care and treatment is provided in a safe way to patients.

Full details of the regulation/s the provider was/is 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.