The Care Quality Commission
  • Dentist
  • Dentist

Archived: Spitalfields Dental

22-23 Widegate Street, London, E1 7HP (020) 3807 7500

Provided and run by:
Implant Expert DSO UK Ltd

All Inspections

4 August 2021

During an inspection looking at part of the service

We carried out this announced focused follow up inspection on 4 August 2021 under section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. We planned the inspection to follow up on concerns we identified during our inspections of the service on 18 March 2021 and 24 May 2021 to check whether the registered provider was meeting the legal requirements in the Health and Social Care Act 2008 and associated regulations.

The inspection was led by a Care Quality Commission (CQC) inspector who had remote access to a CQC specialist dental adviser.

We undertook a comprehensive inspection of Implant Expert Liverpool Street on 18 March 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 safe or well led care and was in breach of regulations 12 – safe care and treatment, 17 – Good governance, 18 – Staffing and 19 Requirements relating to workers of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014. Due to the seriousness of the concerns we used our enforcement powers and suspended the providers registration for a period of four months.

We undertook another focused inspection on 24 May 2021. We found that while some improvements had been made the service remained in breach of the above regulations. You can read our report of that inspection by selecting the 'all reports' link for Implant Expert Liverpool Street on our website www.cqc.org.uk.

As part of this inspection we asked:

• Is it safe?

• Is it well-led?

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 18 March and 24 May 2021.

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 18 March and 24 May 2021.

Background

Implant Expert Liverpool Street is in the city of London and provides private dental care and treatment for adults and children.

The dental team includes one dentist, one dental nurse, three receptionists and a practice manager. The practice has four treatment rooms.

The practice is owned by a company 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 Implant Expert Liverpool Street is the practice manager.

During the inspection we spoke with one dentist, one dental nurse, three receptionists and the practice manager. We looked at practice policies and procedures and other records about how the service is managed.

Our key findings were:

  • The provider had infection control procedures to reduce the risk of infections including transmission of the COVID-19 virus.
  • The provider had systems to help them manage risks to patients and staff.
  • The provider had arrangements to ensure that important checks were carried out when new staff are employed at the practice.
  • There were arrangements to ensure that staff undertook recommended training in relation to their roles within the practice.
  • The provider had leadership to support a culture of openness and continuous improvement.
  • There were governance systems to monitor the day to day running of the practice.

24 May 2021

During an inspection looking at part of the service

We carried out this announced focused follow up inspection on 24 May 2021 under section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. We planned the inspection to follow up on concerns we identified during our inspection of the service on 18 March 2021 and to check whether the registered provider was meeting the legal requirements in the Health and Social Care Act 2008 and associated regulations.

The inspection was led by a Care Quality Commission (CQC) inspector who was supported by a CQC specialist dental adviser.

When we inspected on 18 March 2021, we identified significant concerns in relation to safety of patients and staff. We took urgent enforcement action to suspend the provider’s registration.

You can read our report of that inspection by selecting the 'all reports' link for Implant Expert Liverpool Street on our website www.cqc.org.uk.

To consider the concerns we received we asked the following questions

• Is it safe?

• Is it well-led?

These questions form the framework for the areas we look at during the inspection.

Our findings were:

Are services safe?

We found this practice was not providing safe care in accordance with the relevant regulations.

Are services well-led?

We found this practice was not providing well-led care in accordance with the relevant regulations.

Background

Implant Expert Liverpool Street is in the city of London and provides private dental care and treatment for adults and children.

The practice is owned by an organisation. At the time of inspection there was no registered manager in post as required as a condition of registration. A registered manager is legally responsible for the delivery of services for which the practice is registered.

As the provider’s registration was suspended and the practice was closed, when we visited on 24 May 2021, staff other than the practice manager were not available. We looked at practice policies and procedures and other records about how the service is managed.

Our key findings were:

  • The provider had ineffective infection control procedures to reduce the risk of infections including transmission of the COVID-19 virus.
  • The provider had ineffective systems to help them manage risks to patients and staff.
  • The provider had ineffective leadership to support a culture of openness and continuous improvement.
  • There were ineffective governance systems to monitor the day to day running of the practice.

We identified regulations the provider was not complying with. They must:

  • Ensure care and treatment is provided in a safe way to patients.
  • Establish effective systems and processes to ensure good governance in accordance with

the fundamental standards of care.

  • Ensure recruitment procedures are established and operated effectively to ensure only fit and proper persons are employed.
  • Ensure persons employed in the provision of the regulated activity receive the appropriate support, training, professional development, supervision and appraisal necessary to enable them to carry out the duties.

We have taken enforcement action in relation to the regulatory breaches identified. The provider’s registration with the care Quality Commission to undertake regulatory activities from this location is currently suspended. We will reinspect the service to ensure that all the required improvements are made before the imposed suspension is removed.

Full details of the regulations the provider is not meeting are at the end of this report.

18 March 2021

During an inspection looking at part of the service

We carried out this announced inspection on 18 March 2021 under section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. We planned the inspection to follow up on concerns we identified during a Transitional Regulatory monitoring call on 15 March 2021 and to check whether the registered provider was meeting the legal requirements in the Health and Social Care Act 2008 and associated regulations. The inspection was led by a Care Quality Commission (CQC) inspector who was supported by a CQC specialist dental adviser.

To consider the concerns we received we asked the following questions

• Is it safe?

• Is it well-led?

These questions form the framework for the areas we look at during the inspection.

Our findings were:

Are services safe?

We found this practice was not providing safe care in accordance with the relevant regulations.

Are services well-led?

We found this practice was not providing well-led care in accordance with the relevant regulations.

Background

Implant Expert Liverpool Street is in the city of London and provides private dental care and treatment for adults and children.

The practice is owned by an organisation. At the time of inspection there was no registered manager in post as required as a condition of registration. A registered manager is legally responsible for the delivery of services for which the practice is registered.

During the inspection we spoke with the practice manager, one dentist, one dental nurse and two receptionists.

Our key findings were:

  • The provider had ineffective infection control procedures to reduce the risk of infections.
  • The provider had ineffective systems to help them manage risks to patients and staff. Risk assessments were not carried out, equipment was not tested or serviced as required.
  • The provider had ineffective arrangements to ensure that the important checks were carried out when new staff are employed at the practice.
  • The provider had ineffective arrangements to ensure that staff undertook important recommended training in relation to their roles within the practice.
  • The provider had ineffective leadership to support a culture of openness and continuous improvement.
  • There were ineffective governance systems to monitor the day to day running of the practice.

We identified regulations the provider was not complying with. They must:

  • Ensure care and treatment is provided in a safe way to patients.
  • Establish effective systems and processes to ensure good governance in accordance with

the fundamental standards of care.

  • Ensure recruitment procedures are established and operated effectively to ensure only fit and proper persons are employed.
  • Ensure persons employed in the provision of the regulated activity receive the appropriate support, training, professional development, supervision and appraisal necessary to enable them to carry out the duties.

We are considering enforcement action in relation to the regulatory breaches identified. We will report further when any enforcement action is concluded.

Full details of the regulations the provider is not meeting are at the end of this report.