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Inspection Summary


Overall summary & rating

Updated 15 May 2017

During our announced comprehensive inspection of this practice on 4 October 2016 we found breaches of legal requirements of the Health and Social Care Act 2008 in relation to regulation 17- Good Governance and regulation 19- Fit and proper persons employed.

We undertook this focused inspection to check that the provider now met legal requirements. This report only covers our findings in relation to these requirements. You can read the report from our previous comprehensive inspection by selecting the 'all reports' link for Dental Surgery at www.cqc.org.uk

Key findings

  • Overall, we found that effective action had been taken to address the shortfalls identified at our previous inspection. The provider must now ensure that the newly implemented improvements are embedded and sustained in the long- term in the practice.

Inspection areas

Safe

No action required

Updated 15 May 2017

We noted significant improvements had been implemented since our previous inspection. Staff had received accredited training in safeguarding patients, incident reporting was better understood, dentists used a safer sharps’ system, staff recruitment was more robust, and cleanliness and infection control had strengthened.

Effective

No action required

Updated 15 May 2017

The quality of information recording in patients’ dental care records had improved significantly, and it was now possible to ascertain that care and treatment was delivered in line with best practice, although we found some minor omissions in the recording X-rays and the discussion of treatment options. Staff had undertaken a wide range of training and had a better understand of the Mental Capacity Act and how it related to patients who could not make decisions for themselves.

Patients’ referrals to other dental health providers were better managed.

Caring

No action required

Updated 21 November 2016

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

Patients spoke highly of the dental treatment they received, and of the caring and empathetic nature of the practice’s staff. Patients told us they were involved in decisions about their treatment, and did not feel rushed in their appointments. Staff understood the importance of maintaining patients’ privacy and information about them was handled confidentially.

Responsive

No action required

Updated 21 November 2016

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

Routine dental appointments were readily available, as were urgent on the day appointment for patients experiencing dental pain. Patients commented it was easy to get through on the phone to the practice, and they rarely waited once arrived.

The practice had made some adjustments to accommodate patients with a disability, although could not offer a service to wheelchair users due to limitations of the building.

Information about how to complain was easily available and the practice responded in a timely, empathetic and appropriate way to issues raised by patients.

Well-led

No action required

Updated 15 May 2017

The improvements we noted since our previous inspection indicated that leadership and oversight within the practice had become more robust and systems were in place to ensure standards were met. The provider must now ensure that these improvements are fully embedded at the practice and sustained over the long-term.