06/09/2016
During an inspection looking at part of the service
Further to the outcome of a previous inspection, carried out in May 2016, we carried out an announced focused inspection relating to the well led provision of services on 6 September 2016 to ask the practice the following key questions;
Are services well-led in relation to governance; specifically staff training and systems to assess, monitor and mitigate the risks relating to the health, safety and welfare of patients, staff and visitors?
Our findings were:
Are services well-led?
We found that this practice was providing well-led care in accordance with the relevant regulations.
Background
CQC inspected the practice on 12 May 2016 and asked the provider to make improvements regarding:
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Regulation 17 Health and Social Care Act (regulated activities) Regulations 2014 Good governance
We checked this area as part of this focused inspection and found this had been resolved.
Tooth Booth operates from commercial premises providing NHS and private dentistry for both adults and children. The practice is situated in Beaconsfield, Buckinghamshire.
The practice is based on the ground and first floor. The ground floor is accessible to wheelchair users, prams and patients with limited mobility. The practice has three dental treatment rooms, one of which is based on the ground floor. The practice has a separate decontamination room used for cleaning, sterilising and packing dental instruments.
The practice employs five dentists, one hygienist, three dental nurses, of which two are trainees, three reception staff and a practice manager. The practice opens Monday and Thursday between8.30am and 8pm, Tuesday, Wednesday and Friday between8.30am to 5.30pm and Saturday between 8.30am and 1pm.
There are arrangements in place to ensure patients receive urgent dental assistance when the practice is closed. This is provided by an out-of-hours on call service provided by the 111 service.
There was no registered manager at the time of our inspection at this location. We were told that the current Practice Manager was going through the CQC registration process to become the registered manager. A registered manager is a person who is registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons’. Registered persons 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 inspection was carried out by a CQC inspector.
Our key findings were:
- There were appropriate systems in place to meet health and safety regulations including risk assessment for fire and general health and safety criteria.
- Staff were up to date with their mandatory training and Continuing Professional Development (CPD).