Updated 8 May 2019
We undertook a follow up focused inspection of Your Dentist London on 27 February 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 was supported by a specialist dental adviser.
We undertook a comprehensive inspection of Your Dentist London on 15 August 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 safe or well led care and was in breach of regulation 12 - Safe care and treatment and 17 – Good governance 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 Your Dentist London on our website www.cqc.org.uk.
-
Is it safe?
-
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 safe?
We found that this practice was providing safe care in accordance with the relevant regulations. The provider had made improvements in relation to the regulatory breach we found at our inspection on 15 August 2018.
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 15 August 2018.
Background
Your Dentist London is in Victoria in the London Borough of Westminster. The practice provides private treatment to patients of all ages.
The practice has three treatment rooms, located on the ground floor; two were in use at the time of our inspection. The practice is situated close to public transport bus and train services.
The dental team includes the principal dentist and three associate dentists. Two dental nurses also work at the practice. The clinical team are supported by a compliance manager and a receptionist.
The practice is owned by a company and as a condition of registration must have a person registered with the Care Quality Commission as the registered manager. Registered managers have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated regulations about how the practice is run. The registered manager at Your Dentist London was the principal dentist.
During the inspection we spoke with the principal dentist, one associate dentist, one dental nurse, and the receptionist.
We looked at practice policies and procedures and other records about how the service is managed.
The practice is open:
Mondays, Tuesdays, Thursdays and Fridays between 8.30am and 6pm.
Wednesdays between 10.30am and 8pm
Our key findings were:
-
There were suitable safeguarding arrangements in place and staff had access to information to assist them to report concerns.
-
Improvements had been made to the arrangements for ensuring that equipment used to sterilise dental instruments was serviced and maintained in line with the manufacturer’s instructions.
-
There were arrangements to monitor and improve quality in relation to dental radiography though a system of audits.
-
There suitable systems in place to deal with medical emergencies. The recommended life-saving equipment and medicines were available and staff had completed training in medical emergencies.
-
Improvements had been made to the arrangements for assessing and mitigating Legionella risks within the practice.
-
The practice infection control procedures had been reviewed and improved so that infection prevention and control audits were carried out in line with current guidance.
-
Improvements had been made to the arrangements for recording, investigating, learning from incidents or significant events with a view to preventing further occurrences.
-
Information in relation to safety including patient safety alerts, recalls and rapid response reports issued from the Medicines and Healthcare products Regulatory Agency (MHRA) were reviewed and shared to help monitor and improve safety.
-
The practice’s sharps procedures were in compliance with the Health and Safety (Sharp Instruments in Healthcare) Regulations 2013.
-
Improvements had been made to the arrangements to respond to the needs of patients with disability and the requirements of the Equality Act 2010.