• Dentist
  • Dentist

Archived: Corra Linn House Dental Practice

316b Buxton Road, Stockport, Cheshire, SK2 7DD (0161) 483 2816

Provided and run by:
Dr Albertus Johannes Joubert

Important: The provider of this service changed. See new profile

All Inspections

22 October 2018

During an inspection looking at part of the service

We undertook a follow up focused inspection of Corra Linn House Dental Practice on 22 October 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 carried out by a CQC inspector.

We undertook a comprehensive inspection of Corra Linn House Dental Practice on 30 May 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 Corra Linn House Dental Practice 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 identified at our inspection on 30 May 2018.

Background

Corra Linn House Dental Practice is in Stockport and provides NHS and private treatment to adults and children.

A portable ramp is available for people who use wheelchairs and those with pushchairs. On street parking is available near the practice.

The dental team includes seven dentists, seven dental nurses (three of which are trainees), two dental hygienists, and a receptionist. The team is supported by a practice manager and deputy practice manager. The practice has six 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 inspection we spoke with the responsible individual and the practice manager, who were not able to attend the inspection on 30 May 2018. We also spoke with the deputy manager and dental nursing staff. We looked at practice policies and procedures and other records about how the service is managed.

The practice is open: Monday to Friday 8:30am to 1pm and 2pm to 5pm.

Our key findings were:

  • The management and clinical governance arrangements had been reviewed and improved.
  • Improvements had been made to infection control procedures. These were in line with nationally agreed guidance.
  • The practice had introduced systems to help them identify and manage risk
  • A system of audit was in place to review standards of clinical care.
  • The practice had reviewed their processes to ensure incidents were reported and investigated appropriately.
  • Risk assessments were in place for the provision of domiciliary care.
  • Recruitment procedures reflected guidance. Improvements were needed to the process for obtaining Disclosure and Barring checks.

There were areas where the provider could make improvements. They should:

  • Review the practice's protocols and procedures to ensure staff are up to date with their mandatory training and their continuing professional development.
  • Review the availability of medicines in the practice to manage medical emergencies taking into account the guidelines issued by the British National Formulary and the General Dental Council. In particular, whether additional adrenaline is required.
  • Review the practice’s protocols to ensure audits of infection prevention and control are completed fully and action plans include all documented learning points.
  • Review the practice’s sharps procedures to ensure the practice is in compliance with the Health and Safety (Sharp Instruments in Healthcare) Regulations 2013.

30 May 2018

During a routine inspection

We carried out this announced inspection on 30 May 2018 under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. We planned the inspection to check whether the registered provider was meeting the legal requirements in the Health and Social Care Act 2008 and associated regulations. The inspection was led by a CQC inspector who was supported by a specialist dental adviser.

To get to the heart of patients’ experiences of care and treatment, we always ask the following five questions:

• Is it safe?

• Is it effective?

• Is it caring?

• Is it responsive to people’s needs?

• Is it well-led?

These questions form the framework for the areas we look at during the inspection.

Our findings were:

Are services safe?

We found that this practice was providing safe care in accordance with the relevant regulations.

Are services effective?

We found that this practice was providing effective care in accordance with the relevant regulations.

Are services caring?

We found that this practice was providing caring services in accordance with the relevant regulations.

Are services responsive?

We found that this practice was providing responsive care in accordance with the relevant regulations.

Are services well-led?

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

Background

Corra Linn House Dental Practice is in Stockport and provides NHS and private treatment to adults and children.

A portable ramp is available for people who use wheelchairs and those with pushchairs. On street parking is available near the practice.

The dental team includes seven dentists, five trainee dental nurses, two dental hygienists, and a receptionist. The team is supported by a practice manager and deputy practice manager. The practice has six 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.

On the day of inspection we collected 28 CQC comment cards filled in by patients.

During the inspection we spoke with two dentists, three trainee dental nurses, the receptionist, the practice manager (who is also the registered manager) and the deputy practice manager. We looked at practice policies and procedures and other records about how the service is managed.

The practice is open:

Monday to Friday 8:30am to 1pm and 2pm to 5pm.

Our key findings were:

  • The practice appeared clean and well maintained.
  • Improvements were needed to infection control procedures.
  • Emergency medicines and life-saving equipment were not in line with guidance.
  • The practice had limited systems to help them manage risk.
  • The practice staff had safeguarding processes and staff knew their responsibilities for safeguarding adults and children.
  • The clinical staff provided patients’ care and treatment in line with current guidelines.
  • Staff treated patients with dignity and respect and took care to protect their privacy and personal information.
  • The practice was providing preventive care and supporting patients to ensure better oral health.
  • The appointment system met patients’ needs.
  • Staff felt involved and supported and worked well as a team.
  • The practice asked staff and patients for feedback about the services they provided.
  • The practice staff dealt with complaints positively and efficiently.
  • The practice staff had suitable information governance arrangements.

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

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

Full details of the regulations the provider was not meeting are at the end of this report.

There were areas where the provider could make improvements. They should:

  • Review the practice’s system for recording, investigating and reviewing incidents or significant events with a view to preventing further occurrences and ensuring that improvements are made as a result.
  • Review the practice's recruitment procedures to ensure that appropriate checks are completed prior to new staff commencing employment at the practice.
  • Review the fire safety risk assessment and ensure that any actions required are complete and ongoing fire safety management is effective.
  • Review the practice’s protocols for domiciliary visits taking into account the 2009 guidelines published by British Society for Disability and Oral Health in the document “Guidelines for the Delivery of a Domiciliary Oral Healthcare Service”.