Updated 9 March 2018
We carried out this announced focused inspection on 13 February 2018 under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. Eastdale clinic received a comprehensive inspection on 8 August 2017 and we served a Requirement notice for Regulation 17-Good Governance.
They required improvement in ensuring the service was assessed and monitored to ensure risks were mitigated and they improved the quality and safety of services provided. This included taking actions following risk assessments carried out for health and safety. After the comprehensive inspection, the practice wrote to us to say what actions they would take to meet the legal requirements in relation to the breaches. We revisited and checked whether they had followed their action plan. We reviewed the practice against one of the five questions we ask about services: is the service well-led?
This report only covers our findings in relation to those requirements. You can read the report from our last comprehensive inspection by selecting the ‘all reports’ link for Eastdale clinic on our website at www.cqc.org.uk.
The inspection was undertaken by a CQC inspector who had access to a remote specialist dental adviser.
Our key findings were:
• The practice appeared clean and well maintained.
• The practice had infection control procedures which reflected published guidance.
• Staff knew how to deal with emergencies. Appropriate medicines and life-saving equipment were available.
• The practice had systems to help them manage risk.
• The practice had suitable safeguarding processes and staff knew their responsibilities for safeguarding adults and children.
• The practice had thorough staff recruitment procedures.
• The clinical staff provided patients’ care and treatment in line with current guidelines.
• Staff treated patients with dignity and respect and took care to protect their privacy and personal information.
• The appointment system met patients’ needs.
• The practice had effective leadership. Staff felt involved and supported and worked well as a team.
• The practice asked staff and patients for feedback about the services they provided.
• The practice dealt with complaints positively and efficiently.