Updated 22 January 2020
We undertook a follow up inspection of Dentaris Ltd on 25 November 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 Dentaris Ltd on 29 July 2019 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 Dentaris Ltd 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 inspect again after a reasonable interval, focusing on the areas where improvement was required.
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 had made insufficient improvements to put right the shortfalls and had not responded to the regulatory breach we found at our inspection on 29 July 2019.
Background
Dentaris Ltd is in Grimsby and provides NHS and private treatment to adults and children. There is also a separate premises at 12 Cleethorpe Road where there is a cone beam computed tomography machine and office space.
There is level access at the rear of the premises for people who use wheelchairs and those with pushchairs. Car parking spaces are available near the practice.
The dental team includes two dentists, three trainee dental nurses, two dental hygiene therapists, one receptionist and a trainee practice manager. Many of the staff had started within the previous month. The practice has two treatment rooms.
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 Dentaris Ltd is one of the dentists.
During the inspection we spoke with the registered manager, one dental hygiene therapist and the trainee practice manager. We looked at practice policies and procedures and other records about how the service is managed.
The practice is open:
Monday to Wednesday from 8:30am to 5:00pm
Thursday from 8:15am to 6:15pm
Friday from 8:15am to 2:15pm
Our key findings were:
- Medical emergency equipment was available as described in nationally recognised guidance.
- Improvements had been made to the process for managing the risks associated with the use of X-rays.
- Improvements could be made to the practice’s arrangements for ensuring good governance and leadership are sustained in the longer term. These include the monitoring of staff training, evidence of valid indemnity and the risks associated with fire and Hepatitis B.
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.