Updated 12 March 2020
We undertook a follow up inspection of Oakley Dental Practice on 12 February 2020. 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 Oakley Dental Practice on 11 September 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 safe or well led care and was in breach of regulations 12, 17 and 19 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 Oakley Dental Practice on our website www.cqc.org.uk.
As part of this inspection we asked:
• Is it safe?
• 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 (requirement notice only). We then inspect again after a reasonable interval, focusing on the areas where improvement was required.
Our findings were:
Are services safe?
We found this practice was providing safe care in accordance with the relevant regulations.
The provider had made improvements in relation to the regulatory breaches we found at our inspection on 11 September 2019.
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 11 September 2019.
Background
Oakley Dental Practice is in Oakley and provides private dental treatment to adults and children.
There is level access for people who use wheelchairs and those with pushchairs. Car parking spaces, including those for blue badge holders, are available near the practice.
The dental team includes two dentists, one dental nurse/administrator, one dental nurse, one trainee dental nurse, one dental hygiene therapist and one cleaner. The practice has three treatment rooms.
The practice is owned by an individual who is the principal dentist there. They have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated regulations about how the practice is run.
During the inspection we spoke with one dentist, one dental hygiene therapist and two dental nurses. We looked at practice policies and procedures and other records about how the service is managed.
The practice is open:
- Monday 8.30am to 6.30pm
- Tuesday to Thursday 8.30am to 5.30pm
- Friday 8.30am to 12.30pm
Our key findings were:
- The provider had infection control procedures which reflected published guidance.
- Appropriate medicines and life-saving equipment were available.
- The provider had systems to help them manage risk to patients and staff.
- Improvements had been made to the management of equipment maintenance to ensure there were no gaps in planned maintenance.
- The X ray folder contained the required information.
- The practice had obtained sharps safety equipment and staff had been trained in their use.
- A legionella risk assessment had been carried out by an external contractor and the recommendations had either been implemented or were planned.
- The external medical waste bins were secured.
- The provider had staff recruitment procedures which reflected current legislation.
- The practice now had a comprehensive Control of Substances Hazardous to Health (COSHH) Regulations 2002 file with assessments of hazardous substances.
- We saw that the practice had carried out audits for infection prevention control and antimicrobial medicines, and there was a planned approach to ongoing auditing.