Updated 5 April 2019
We undertook a follow up desk-based inspection of Shaw Village Dental Practice on 27 March 2019. 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.
We undertook a comprehensive inspection of Shaw Village Dental Practice on 11 September 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 and was in breach of 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 Shaw Village Dental Practice on our website www.cqc.org.uk.
As part of this inspection we asked:
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Is it well-led?
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.
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 breaches we found at our inspection on 11 September 2018.
Background
Shaw Village Dental Practice is in the North West of Swindon and provides private treatment to adults and children.
The practice is situated above a commercial business and is accessed by climbing a flight of stairs. The practice informs all new patients choosing to register that they are not wheelchair accessible; they signpost patients that cannot climb the stairs to a nearby practice. There is a free car park directly outside the practice which has spaces available for blue badge holders.
The dental team includes three dentists, two dental nurses, two dental hygienists, one receptionist and one practice administrator. The practice has three treatment rooms.
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 follow-up desk based inspection we spoke with the practice manager. We were sent copies of completed infection prevention control and radiography audit results, servicing certification for fire equipment and the gas boiler, evidence of a legionella risk assessment certification and practice meeting minutes detailing patient safety alert discussions.
The practice is open:
Monday to Thursday from 9am to 5.30pm and Friday from 9am to 2.30pm.
Our key findings were:
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Audit activity had significantly improved. Infection prevention and control audits and radiography audits had been completed within appropriate timeframes in line with published guidance.
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There were improved systems and processes established to enable the registered person to assess, monitor and mitigate the risks relating to the health, safety and welfare of service users and others who may be at risk. Patient safety alerts were monitored and reviewed, legionella risk assessment actions had been implemented, servicing and maintenance of equipment had been completed.