Updated 8 August 2022
Recent Regulatory History
We undertook a comprehensive inspection of Mr Roopesh Singh, also known as Crescent Dental surgery 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 or well led care and was in breach of regulation 12 and 17 of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014.
We carried out a follow up inspection of Mr Roopesh Singh on 4 March 2022 and found the provider was again not providing well led care and was in breach of Regulation 17. 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.
We undertook a further follow up focused inspection of Mr Roopesh Singh, also known as Crescent Dental surgery on 8 July 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.
When one or more of the key questions (listed below) 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.
Key questions:
- Is it safe?
- Is it effective?
- Is it well-led?
- Is it caring?
- Is it responsive?
This is the report of our findings from the follow up inspection on 8 July 2022 where our focus was on the following 3 key questions.
• Is it safe?
• Is it effective?
• Is it well-led?
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 fully to all of the regulatory breaches we found at our inspection on 4 March 2022.
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 the all of the regulatory breaches we found at our inspection on 4 March 2022.
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 fully to all of the regulatory breaches we found at our inspection on 4 March 2022.
Background
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
We identified regulations the provider was not meeting. They must:
Ensure care and treatment is provided in a safe way for service users.
Ensure systems and processes that enable the registered person to assess, monitor and improve the quality and safety of the services being provided are in place.
Full details of the regulations the provider was not meeting are at the end of this report.