Updated 13 May 2019
We undertook a follow up focused inspection of Solid Rock Specialist Dental Practice - Doncaster on 18 April 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 who had telephone access to a specialist dental adviser.
We undertook a comprehensive inspection of Solid Rock Specialist Dental Practice - Doncaster on 5 November 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 Solid Rock Specialist Dental Practice - Doncaster on our website www.cqc.org.uk.
As part of this inspection we asked:
• 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 breach we found at our inspection on 5 November 2018.
Background
Solid Rock Specialist Dental Practice is in Doncaster and provides private routine dentistry, oral surgery and dental implants to adults and children.
There is level access for people who use wheelchairs and those with pushchairs. Car parking spaces are available at the rear of the practice.
The dental team includes the principal dentist, who is registered with the General Dental Council as an Oral Surgeon and three trainee dental nurses. The practice has three treatment rooms, one of which is out of commission. On occasion a locum dentist will cover holidays and sickness.
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 principal dentist and one dental nurse. We looked at practice policies and procedures and other records about how the service is managed.
The practice is open:
Monday to Friday 10:30am – 1:30pm and 5pm – 8pm
Saturday 9am – 1pm.
Our key findings were:
- Appropriate measures were taken to ensure Legionella management systems were in place and that these reflected the risk assessment.
- Appropriate measures were taken to ensure fire safety systems were in place and that these reflected the risk assessment.
- The Control of Substances Hazardous to Health (COSHH) process had been reviewed and appropriate risk assessments put in place.
- Systems to ensure patient safety alerts were received and acted upon were in place.
- A system was in place to identify, report and record significant incidents including awareness of Reporting of Injuries, Diseases and Dangerous Occurrences Regulations 2005 (RIDDOR).
- Appropriate staff checks were in place and reflected relevant legislation.
- Suitable security measures for patient care records were in place.
- Appropriate measures were taken to prevent accidental use of the instrument washer disinfector.
- A system to ensure policies and procedures were reviewed and updated at appropriate intervals was in place.
- The use of closed-circuit television (CCTV) was appropriately reflected by a policy and a privacy impact statement in line with published guidance.