Updated 22 April 2022
We undertook a follow up focused inspection of Mr Philip Chai Kee Wee dental practice on 22 March 2022. 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 this dental practice on 26 November 2021 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. You can read our report of that inspection by selecting the 'all reports' link for Mr Philip Chai Kee Wee dental practice on our website www.cqc.org.uk.
As part of this inspection we asked:
- 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 reinspect after a reasonable interval, focusing on the areas where improvement was required.
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 breaches we found at our inspection on 26 November 2021.
Background
Mr Philip Chai Kee Wee is a family run dental practice is in the London Borough of Camden and provides NHS and private dental care and treatment for adults and children.
The practice is located on the first and second floors of a Victorian building which is accessed via a side entrance door. The practice was not suitable for those people who use wheelchairs and those with pushchairs; patients are made aware of this when they telephone to register. Paid car parking spaces are available near the practice.
The dental team includes the principal dentist and a dental nurse who also undertakes receptionist duties. The practice has two treatment rooms, however only one is viable and functional. There is a patient waiting area and a separate decontamination room.
The practice is owned by an individual who is the principal dentist. They have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated regulations. They are registered to provide the regulated activities of treatment of disease, disorder or injury, surgical procedures and diagnostic and screening procedures from one location.
During the inspection we spoke with the principal dentist and the dental nurse. We looked at practice policies and procedures and other records about how the service is managed.
The practice is open Monday to Friday 10am to 5pm. Outside of these hours, patients are advised to contact NHS 111 for emergency care and treatment.
Our key findings were:
- Risks to service users were better assessed and managed.
- Further improvements were needed to ensure dental care records were completed as per recommended guidance.
- Dental professionals demonstrated up to date knowledge of current evidence-based practice.
- Improvements had been made to the practices’ quality improvement initiatives.
- The provider took steps to strengthen the referral and prescription monitoring systems.
There were areas where the provider could make improvements. They should:
- Improve the practice protocols regarding auditing patient dental care records to check that necessary information is recorded.
- Take action to ensure the clinicians take into account the guidance provided by the College of General Dentistry when completing dental care records.