2 December 2016
During an inspection looking at part of the service
We carried out a follow up inspection on 2 December 2016 of Mr Michael Dewar.
We had undertaken an announced comprehensive inspection of this service on 11 February 2016 as part of our regulatory functions and during this inspection we found breaches of the legal requirements.
After the comprehensive inspection, the practice wrote to us to say what they would do to meet the legal requirements in relation to the breach. This report only covers our findings in relation to those requirements.
We checked whether they had followed their action plan to confirm that they now met the legal requirements.
We reviewed the practice against twoof the five questions we ask about services; is the service effective and well led?
A copy of the report from our last comprehensive inspection can be found by selecting the 'all reports' link for Mr Michael Dewar on our website at www.cqc.org.uk.
Our findings were:
Are services effective ?
We found that this practice was not providing effective care in accordance with the relevant regulations.
Are services well led ?
We found that this practice was providing well led care in accordance with the relevant regulations.
Background
Mr Michael Dewar is situated in the Darnall area of Sheffield, South Yorkshire. It offers mainly NHS treatment to patients of all ages but also offers private dental treatments. The services include preventative advice and treatment and routine restorative dental care.
The practice has one surgery, a decontamination room, a waiting area and a reception area. The reception area, waiting area and the surgery are on the ground floor of the premises.
There was one dentist, one dental nurses and a practice manager (who also worked on the reception desk).
The opening hours are Monday to Friday from 9-00am to 12-30pm and from 1-45pm to 4-30pm.
Our key findings were:
- The dentist had been taking X-rays in line with current guidance from the Faculty of General Dental Practice (FGDP).
- The dentist had been recording Basic Periodontal Examinations (BPEs) in line with guidance from the British Society of Periodontology (BSP).
- We noted some inconsistencies in the use of the BPE
- An Infection Prevention Society (IPS) audit had been carried out and an action plan had been formulated. The action plan had yet to be actioned.
- An audit of X-rays had yet to be completed. The X-rays which we viewed on the day of inspection were all of good quality.
We identified regulations that were not being met and the provider must:
- Ensure patients’ gum health is appropriately monitored in line with the British Society of Periodontology guidance.