Updated 9 April 2021
We undertook an inspection of Elm Street Dental Surgery on 8 March 2021. This was carried out to review the actions taken by the registered provider to improve the quality of care and to confirm that the practice now met legal requirements.
We had undertaken inspections on 24 February 2020 and November 2020 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 in accordance with the relevant regulations 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 Elm Street Dental Surgery 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.
As part of this review we asked:
- Is it safe?
- Is it well-led?
We undertook an inspection of Elm Street Dental Surgery on 8 March 2021. This was carried out to review the actions taken by the registered provider to improve the quality of care and to confirm that the practice now met legal requirements.
We had undertaken inspections on 24 February 2020 and November 2020 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 in accordance with the relevant regulations 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 Elm Street Dental Surgery 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.
As part of this review we asked:
- Is it safe?
- Is it well-led?
Background
Elm Street Dental Surgery is in Ipswich, Suffolk and provides NHS and private dental care and treatment for adults and children. The dental team includes one dentist, one dental nurse, one trainee dental nurse and the practice manager (who was not available on the day of our inspection). The practice has two treatment rooms, only one of which is in use at the time of our inspections.
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 dentist, one dental nurse and one trainee dental nurse and looked at practice policies and procedures and other records about how the service was managed.
Our findings were:
Are services safe?
We found this practice was not providing safe care in accordance with the relevant regulations.
The provider had made insufficient improvements to put right the shortfalls and had not responded to the regulatory breach we found at our inspections on 24 February 2020 and again on 3 November 2020.
The provider could not demonstrate that care and treatment was provided in a safe way for people using the service.
Are services well-led?
We found this practice was not providing well-led care in accordance with the relevant regulations.
The provider had made insufficient improvements to put right the shortfalls and had not responded to the regulatory breach we found at our inspections on 24 February 2020 and again on 3 November 2020.
The provider could not demonstrate that leadership and governance systems within the practice were effective.