Updated 31 July 2020
We undertook a follow up desk-based review of Henley-in-Arden on 9 July 2020. This review was carried out to examine 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 review was led by a CQC inspector.
We undertook a comprehensive inspection of Henley-in-Arden on 24 September 2019 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 Henley-in-Arden on our website www.cqc.org.uk.
As part of this review 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 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 24 September 2019.
Background
Henley-in-Arden (also known as Ivory Bespoke Dentistry) is in Henley in Arden and provides NHS and private dental treatment to adults and children. The services are provided under two separately registered providers at this location. This report only relates to the provision of general dental care provided by Dr. Matthew Jones. An additional report is available in respect of the general dental care services which are registered under Ivory Bespoke Dentistry Ltd.
There is access for people who use wheelchairs and those with pushchairs with the use of a portable ramp. Car parking spaces, including spaces for blue badge holders, are available in the free shopper’s car parks near the practice.
The dental team includes the principal dentist, three dental nurses, one dental hygienist and one receptionist. The practice has two 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.
The practice is open:
Monday from 9am to 5pm.
Tuesday from 9am to 6pm.
Wednesday from 9am to 4.30pm.
Thursday from 9am to 4:30pm.
Friday from 9am to 5pm.
Our key findings were:
The provider had made improvements to the management of the service. These included completing analysis and action plans for infection prevention and control audit and radiography audit; completing risk assessments for lone working, sharps and general health and safety; implementing and completing regular review of legionella and fire risk assessments; evidencing appropriate safeguarding training for the practice safeguarding lead; updating recruitment processes; implementing monitoring and tracking systems for prescriptions and improving detail recorded in patients’ dental assessments. These improvements provided a sound footing for the ongoing development of effective governance arrangements at the practice.