Updated 24 December 2021
We undertook a follow-up focused inspection of Yorkshire Dental Suite on 6 December 2021. 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 two specialist dental advisers.
We undertook a comprehensive inspection of Yorkshire Dental Suite on 31 August 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 Regulations 17 and 18 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 Yorkshire Dental Suite on our website www.cqc.org.uk.
As part of this inspection we asked:
• Is it well-led?
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 31 August 2021.
Background
Yorkshire Dental Suite is in Leeds and provides private dental care and treatment for adults and children.
There is level access to the practice for people who use wheelchairs and those with pushchairs. Car parking spaces are available at the practice.
The dental team includes five dentists, one dental hygienist and six dental nurses who also cover reception duties. The practice has five treatment rooms and the team is supported by an operations manager.
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 the provider, the operations manager, the dental hygienist and a dental nurse. We looked at practice policies and procedures and other records about how the service is managed.
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.
The practice is open:
Monday, Thursday and Friday 9am to 5pm
Tuesday and Wednesday 9am to 6pm
Saturday 9am to 3pm
Our key findings were:
- Systems for recording, investigating and reviewing incidents or significant events were in place.
- Additional training had taken place to ensure infection prevention and control processes were in line with published guidance. We identified areas still in need of improvement.
- Safer sharps systems and processes were in line with current guidance and regulations.
- Systems to ensure the equipment in the medical emergency kit remained in date were improved.
- Systems to mitigate role-related risks to protect staff members were in place.
- Improvements had been made to ensure effective oversight of governance and compliance to support the team.
- Documents which were unavailable at the previous inspection were available, reviewed and found to be in order.
- Staff training records and certification which were unavailable at the previous inspection relating to the delivery of conscious sedation were available, were reviewed and found to be in order.
- Systems were in place to record role-related continuing professional development for staff. The system was in its early stages of use and required embedding within the team.
There were areas where the provider could make improvements. They should:
- Improve the practice’s infection control procedures and protocols taking into account the guidelines issued by the Department of Health in the Health Technical Memorandum 01-05: Decontamination in primary care dental practices, and having regard to The Health and Social Care Act 2008: ‘Code of Practice about the prevention and control of infections and related guidance’: In particular, effective use of the light magnification to identify debris on instruments prior to sterilisation and the sessional change of solution in the ultrasonic bath.
- Implement and embed practice protocols and procedures to ensure staff remain up to date with their mandatory training and their continuing professional development.