Updated 9 September 2020
We undertook a follow up desk-based review on 3 August 2020. This review was carried out to follow up on 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 who had remote access to a specialist dental adviser.
We undertook a comprehensive inspection of Smilemaker Dental Practice on 17 May 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 regulation 12 -Safe care and treatment, Regulation 17 - Good governance, Regulation 18 Staffing , Regulation 19 Fit an proper person employed 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 Smilemaker Dental Practice on our website www.cqc.org.uk.
As part of this review 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.
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 17 May 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 17 May 2019.
Background
Smilemaker Dental Practice is in Orpington and provides private treatment for adults and children.
There is no level step-free access for people who use wheelchairs or those with pushchairs. Car parking spaces are available on the premises.
The practice has two treatment rooms.
The dental team includes a practice manager, five dentists, two dental hygienists, three qualified dental nurses, and two receptionists.
The practice is owned by a company and as a condition of registration must have a person registered with the Care Quality Commission 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 manager at Smilemaker Dental Practice is the principal dentist.
The practice is open at the following times:
Monday and Tuesday: 8:15am-5:45pm
Wednesday: 8:30am-5:30pm
Thursday: 8:15am-7:00pm
Friday: 8:00am-5:45pm
Saturday and Sunday: 10:00am-3:00pm
Our key findings were:
• The provider had systems in place to prevent the spread of infection, including an infection control policy.
• There was enough equipment available to manage medical emergencies.
• There were suitable systems in place in relation to gas and electrical safety, including safety checks.
• The provider had systems in place to check staff had suitable immunity to Hepatitis B.
• There were systems in place to record serious incidents
• Staff had undertaken relevant training appropriate to their jobs.
• There were systems in place to check, employment histories, proof of identity, satisfactory
evidence of conduct in previous employment, professional qualifications and criminal background checks.