Updated 18 July 2019
We undertook a focused inspection of Oracle Dental Clinics Shrewsbury on 26 November 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 supported by a specialist dental adviser.
We undertook a comprehensive inspection of Oracle Dental Clinics Shrewsbury on 26 June 2017 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 Good Governance 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 Oracle Dental Clinics Shrewsbury 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. We undertook a focused inspection on the 19 March 2018 to ascertain whether the provider had addressed the issues raised. We found that whilst most of the issues had been addressed there were some issues that we were not shown evidence of actions taken. Following this a further focussed inspection was completed on the 26 November 2018.
As part of this inspection we asked:
• Is it well-led?
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 breach we found at our inspections on 26 June 2017 and again on 19 March 2018.
Background
Oracle Dental Clinics Shrewsbury provides private treatment to patients of all ages.
There is level access for people who use wheelchairs and those with pushchairs. Car parking spaces, including those for patients who are blue badge holders, are available near the practice.
The dental team includes eight dentists, one orthodontist, five dental nurses (two of whom are trainee dental nurses), one dental hygienist, the practice manager and one receptionist. The practice has three 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 Oracle Dental Clinics Shrewsbury is the practice manager. A registered manager is legally responsible for the delivery of services for which the practice is registered.
During the inspection we spoke with the principal dentists, the area manager and the practice manager. We looked at staff recruitment files, staff training files and patient clinical care records.
The practice is open: 9am to 5pm Monday, Wednesday, Thursday and Friday and 8.30am to 7pm on Tuesday. The practice is closed for lunch for one hour each day between 1pm and 2pm.
Our key findings were:
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The practice had implemented effective systems and processes to ensure good governance in accordance with the fundamental standards of care.