Updated 16 November 2021
We undertook a follow up desk-based review of Dale Street Dental Practice on 25 October 2021. This review 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 review was led by a CQC inspector.
We undertook a focused follow up inspection of Dale Street Dental Practice on 28 April 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 Dale Street Dental Practice on our website www.cqc.org.uk.
As part of this review 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 or review 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 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 inspection on 28 April 2021.
Background
Dale Street Dental Practice is in Milnrow, Rochdale and provides private treatment for adults and NHS and private treatment for children.
There is level access for people who use wheelchairs and those with pushchairs. A large free car park including spaces for blue badge holders, is available near the practice.
The dental team includes one dentist, four dental nurses (one of whom is the practice manager and one is the clinical director), one dental hygiene therapist and a receptionist. The practice has two treatment rooms. The dental team is supported by a company director.
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 Dale Street Dental Practice is the clinical director.
As part of this desk-based review, we reviewed the provider’s action plan and evidence submitted to us. The practice had identified where there was a shortfall and had actions in place to ensure the practice was providing well-led care in accordance with the relevant regulations.
The practice is open:
Monday 8am to 3.30pm
Tuesday 9am to 5.30pm (the dentist does not work on Tuesdays)
Wednesday 9am to 7pm
Thursday 8am to 5.30pm
Friday 9am to 5.30pm
Our key findings were:
- Evidence of immunity against the Hepatitis B virus was in place for clinical staff.
- Recruitment procedures had been updated to carry out all necessary essential checks.
- Risks relating to Legionella control, patient safety alerts and hazardous substances were acted on.