Updated 16 July 2021
We undertook a follow up focused inspection of Deepcar Dental Care on 6 July 2021. 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 was supported remotely by a specialist dental adviser.
We undertook a comprehensive inspection of Deepcar Dental Care on 23 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 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 Deepcar Dental Care on 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 23 March 2021.
Background
Deepcar Dental Care is in Deepcar, a village to the north west of Sheffield in South Yorkshire and provides 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. There is roadside car parking outside the practice.
The dental team includes one dentist, two dental nurses and one receptionist. The practice has one treatment room.
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 one dentist, one dental nurse and one receptionist. We looked at practice policies and procedures and other records about how the service is managed.
The practice is open: Monday to Thursday: 9am to 1pm and 2pm to 5:45pm and Friday: 7.30am to 2.30pm.
Our key findings were:
- The practice had produced policies for recruitment, safeguarding vulnerable adults, duty of candour and consent. These policies were not in place at out last inspection visit.
- New Disclosure and Barring Service (DBS) certificates had been applied for or obtained for every member of staff.
- Staff files contained the information required by Schedule 3 of the Health and Social Care Act 2008 Regulations.
- All staff had completed basic life support training and a system had been established to monitor staff training and development.
- A new Legionella risk assessment had been completed.
- The five-year fixed wire safety check had been completed together with PAT testing of all electrical items in the practice.
- A new ultrasonic cleaner had been purchased to reduce the amount of manual cleaning of dental instruments within the practice.