Updated 7 October 2020
We undertook a follow up desk-based review of The Dental Surgery on 8 September 2020. This review was carried out to assess 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 comprehensive inspection of The Dental Surgery on 8 January 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 well led care and was in breach of Regulations 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 The Dental Surgery 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 breaches we found at our inspection on 8 January 2020.
Background
The Dental Surgery is in Bolton and provides NHS and private dental care and treatment for adults and children. It is known locally as 272 Dental Care.
There is level access to the practice for people who use wheelchairs and those with pushchairs. On street parking is available near the practice.
The dental team includes five dentists, five dental nurses (one of which manages the practice), a dental hygiene therapist and a receptionist. The practice has three treatment rooms.
The practice is owned by a partnership and as a condition of registration must have a person registered with the CQC 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 managers at The Dental Surgery are two of the partners.
During this review we spoke with the practice manager and looked at practice policies and procedures and other records about how the service is managed.
The practice is open:
Monday to Wednesday 9am to 1pm and 2pm to 5:30pm
Thursday 9am to 1pm and 2pm to 7pm
Friday 9am to 1pm and 2pm to 4pm
Our key findings were:
- The provider had implemented systems to help them identify and manage risk to patients and staff.
- The provider had staff recruitment procedures which reflected current legislation. Processes to obtain evidence of professional registration, indemnity and training were now in place.
- Radiography equipment was serviced and validated for use. Recommendations in two service reports were acted on.
- Systems to document and investigate incidents were reviewed and discussed with staff to ensure their understanding.
- Audits of radiography and infection prevention and control had been carried out, these included documented learning points.
- The provider had implemented protocols to ensure compliance with the Accessible Information Standard.