Updated 6 December 2018
We undertook a follow up focused inspection of Church Lane Dental Practice on 12 November 2018. 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.
We undertook a comprehensive inspection of Church Lane Dental Practice on 7 June 2018 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 in accordance with the relevant regulations 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 Church Lane Dental Practice on our website www.cqc.org.uk.
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.
As part of this inspection we asked:
• Is it well-led?
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 7 June 2018.
Background
Church Lane Dental Practice is in Harpurhey and provides NHS and private treatment to adults and children.
There is level access for people who use wheelchairs and those with pushchairs. On street parking is available near the practice.
The dental team includes five dentists, seven dental nurses (one of which is a trainee), a dental hygiene therapist and a practice manager. The practice has three treatment rooms.
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, the practice manager and dental nurses. We looked at practice policies and procedures and other records about how the service is managed.
Monday to Thursday 9:30am to 1pm and 2pm to 5:30pm
Friday 9.30am to 3pm
Our key findings were:
- The practice had systems to identify and manage risk effectively. Improvements had been made in relation to hazardous substances, Legionella and fire safety.
- Emergency equipment and medicines were available as described in recognised guidance.
- The practice had improved safeguarding training processes.
- Staff files had been reviewed and now contained all the required evidence, including DBS checks and immunity.
- The safety and use of radiography had been reviewed.
- The system to audit radiography and infection prevention and control had been improved.
- Infection prevention and control procedures had been reviewed and improvements made in line with The Health Technical Memorandum 01-05: Decontamination in primary care dental practices
- The practice had signed up to, and funded access to an online training provider for all staff.
- The practice was engaging with the locality Oral Health Promotion Unit and participating in local oral health improvement projects.