Updated 17 December 2021
We undertook a follow up desk-based review of Moss Lane Dental Surgery on 9 November 2021. This review 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 dental specialist advisor.
We undertook a comprehensive inspection of Moss Lane Dental Surgery on 22 June 2021 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 Moss Lane 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. 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 breach we found at our inspection on 22 June 2021.
Background
Moss Lane Dental Surgery is located in the Orrell Park area of North Liverpool and provides NHS and private dental care and treatment for adults and children.
There is level access to the practice for people who use wheelchairs and those with pushchairs. Car parking spaces are available near the practice.
The dental team includes two dentists, two dental nurses, one of whom is a trainee, a dental hygiene therapist, a receptionist and a practice manager. The practice has two 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 manager at Moss Lane Dental Surgery is the dental hygiene therapist.
As part of this desk-based review, we reviewed the provider’s action plan and evidence submitted to us. The practice had identified where there was a shortfall and had actions in place to ensure the practice was providing well-led care in accordance with the relevant regulations.
The practice is open: Tuesday from 9pm to 1pm and from 2pm to 5pm, and on Friday from 9am to 1pm.
Our key findings were:
- Gas and electrical systems had been inspected and certified.
- The security and use of NHS prescriptions were in line with current guidance.
- Systems had been implemented to oversee the completion of staff training.
- Sharps risks had been assessed and safer sharps systems introduced.
- The provider ensured that practice policies were updated with essential information.
- Staff recruitment procedures now reflected current legislation and checks were in place for temporary staff.
- Improvements had been made to the quality of dental care records and the systems to audit these.