Updated 18 September 2018
We undertook a focused inspection of Robinson & Dicker Dental Practice on 14 August 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 led by a CQC inspector who was dentally qualified. A member of the CQC’s administrative team also attended the inspection.
We undertook a comprehensive inspection of Robinson & Dicker Dental Practice on 30 January 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 Robinson & Dicker 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:
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 30 January 2018.
Background
Robinson & Dicker Dental Practice is in Birmingham and provides NHS and private treatment to adults and children.
There is level access for people who use wheelchairs and those with pushchairs. Car parking spaces, including some for blue badge holders, are available immediately outside the practice.
The dental team includes four dentists, five dental nurses, one dental hygiene therapist, three receptionists and a practice manager. The practice has five 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 one dentist, one receptionist and the practice manager. We looked at practice policies and procedures and other records about how the service is managed.
The practice is open from Monday to Friday between 8.30am and 5.30pm and opens until 7pm on Thursdays.
Our key findings were:
- The practice had implemented effective systems and processes to ensure good governance in accordance with the fundamental standards of care.
There were areas where the provider could make improvements. They should:
- Review the practice's protocols for monitoring and recording the fridge temperature to ensure that medicines and dental care products are being stored in line with the manufacturer’s guidance.
- 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 protocols and procedures to ensure staff are up to date with their mandatory training and their continuing professional development.
- Review the practice’s audits to ensure that, where appropriate, audits have documented learning points and the resulting improvements can be demonstrated. They should also ensure that the radiography audits cover the different types of radiographs taken by staff.