Updated 22 September 2023
We undertook a follow up focused inspection of Dr Peter Tsakpo on 3 August 2023. 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 Dr Peter Tsakpo on 5 April 2022 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.
We also carried out a follow up inspection on 6 October 2022 where the provider had made insufficient improvements to put right the shortfalls identified and had not responded to the regulatory breach we found at our inspection on 5 April 2022.
You can read our reports of those inspections by selecting the 'all reports' link for Dr Peter Tsakpo 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 not providing well-led care in accordance with the relevant regulations.
The provider demonstrated some improvements but had taken insufficient action to put right the shortfalls identified at our inspection on 6 October 2022 and previously on 5 April 2022.
Background
Dr Peter Tsakpo is in Little Horton, Bradford and provides NHS and a small amount of private dental care and treatment for adults and children.
There is level access to the practice for people who use wheelchairs and those with pushchairs. Roadside parking is available near the practice.
The dental team includes 3 part-time dentists, 4 dental nurses (1 of whom is a trainee), and 2 receptionists. The practice has 2 treatment rooms.
During the inspection we spoke with 1 dentists and 2 dental nurses. We looked at practice policies and procedures and other records about how the service is managed.
The practice is open:
Monday to Friday, 9:30am to 12:15pm and 2pm to 5:15pm
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 regulation the provider was not meeting are at the end of this report.