Updated 2 August 2019
We undertook a focused inspection of M.A. Surgeries Ltd also known as Wilton Dental Practice on 12 March 2019. 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 M.A. Surgeries Ltd also known as Wilton Dental Practice on 13 November 2018 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 regulation 12 and 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 M.A. Surgeries Ltd also known as Wilton Dental Practice 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. 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 13 November 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 13 November 2019.
Background
Wilton Dental Practice is in Wilton on the outskirts or Salisbury and provides NHS and private treatment to adults and children.
There is level access for people who use wheelchairs and those with pushchairs. Car parking spaces are available near the practice.
The dental team includes two dentists (one of whom is the principal dentist), one qualified dental nurse, three trainee dental nurses, one receptionist and a practice manager. The practice has three treatment rooms, one of which we were assured by the provider was not currently used to treat patients.
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 nurse, one receptionist and the practice manager. We looked at practice policies and procedures and other records about how the service is managed.
The practice is open:
- Monday to Thursday 08.45am – 1.00pm and 2.00pm – 5.00pm
- Friday 08.45am – 1.00pm
- Closed at weekends.
Our key findings were:
- The provider had infection control procedures which reflected published guidance, and had improved the application of the procedures.
- Staff knew how to deal with emergencies. All appropriate medicines and life-saving equipment were available.
- The practice had improved their systems to help them manage risk to patients and staff and they appeared robust with staff having an improved understanding of risk management throughout the practice.
- The provider had suitable safeguarding processes. and staff knew their responsibilities for safeguarding vulnerable adults and children. Staff had undertaken further training and were aware of their responsibilities for safeguarding vulnerable adults and children.
- The provider had further empowered their practice manager who was providing leadership and a culture of continuous improvement. They were ensuring good governance of the practice.