Updated 2 June 2021
We undertook a focused follow up inspection of The Dental Surgery on 13 May 2021 which included a review of evidence submitted to us by the provider before the site visit. 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 had remote access to a specialist dental advisor.
We undertook a follow-up inspection of The Dental Surgery on 10 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 Well led care and was in breach of 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 The Dental Surgery on our website www.cqc.org.uk.
As part of this inspection 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 (requirement notice only). We then inspect again after a reasonable interval, focusing on the area 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 breach we found at our inspection on 10 November 2020.
Background
The Dental Surgery is in the London Borough of Southwark and provides NHS and private treatment for adults and children.
The dental team includes the principal dentist and a trainee dental nurse. The practice has one treatment room.
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 principal dentist and the trainee dental nurse. We looked at practice policies and procedures and other records about how the service is managed.
The practice is open between 10.00am and 5.00pm - Monday to Friday (Wednesday closed)
Our key findings were:
- Recommendations from the Legionella risk assessment had been actioned.
- Infection prevention and control audits were completed accurately.
- Regular checks on medicines and equipment were undertaken.
- Improvements were made to maintain accurate, complete and contemporaneous records in respect of each patient.
- There were effective systems for the on-going identification of learning and development needs, training, assessment, supervision and appraisal of all staff.