Updated 15 February 2022
We undertook a follow up focused inspection of Night and Day Emergency Dentist on 19 January 2022. 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 support from a specialist dental adviser.
We undertook a comprehensive inspection of Night and Day Emergency Dentist on 1 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 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 Night and Day Emergency Dentiston 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 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 1 June 2021.
Background
Night and Day Emergency Dentist is in Withington, Manchester and provides only emergency and urgent 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. On street parking is available near the practice.
The dental team includes fivedentists, two dental nurses (one of whom manages the practice), and a receptionist. The practice has two treatment rooms.
During the inspection we spoke with the principal dentist and the practice manager. We looked at practice policies and procedures and other records about how the service is managed.
The practice is open:
The practice offers a private 24-hour telephone dental triage and advice service.
Core hours are from 9am until 5pm but this extends into the evening according to demand.
Our key findings were:
- The provider ensured that staff completed up to date training to deal with medical emergencies.
- Systems had been improved to ensure appropriate life-saving equipment was in line with Resuscitation Council UK guidance.
- The systems to help them identify and manage risk to patients and staff had been improved. In particular, radiation protection, hazardous substances and sepsis awareness.
- Staff recruitment procedures reflected current legislation.
- The provider had ensured that effective leadership was in place.
- Training certificates were obtained for all staff to enable the provider to maintain oversight of staff training and development.
There were areas where the provider could make improvements. They should:
- Take action to ensure audits of infection prevention and control have documented learning points and the resulting improvements can be demonstrated.