22 October 2018
During an inspection looking at part of the service
We undertook a follow up focused inspection of Corra Linn House Dental Practice on 22 October 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 carried out by a CQC inspector.
We undertook a comprehensive inspection of Corra Linn House Dental Practice on 30 May 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 Corra Linn House 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 identified at our inspection on 30 May 2018.
Background
Corra Linn House Dental Practice is in Stockport and provides NHS and private treatment to adults and children.
A portable ramp is available for people who use wheelchairs and those with pushchairs. On street parking is available near the practice.
The dental team includes seven dentists, seven dental nurses (three of which are trainees), two dental hygienists, and a receptionist. The team is supported by a practice manager and deputy practice manager. The practice has six 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 responsible individual and the practice manager, who were not able to attend the inspection on 30 May 2018. We also spoke with the deputy manager and dental nursing staff. We looked at practice policies and procedures and other records about how the service is managed.
The practice is open: Monday to Friday 8:30am to 1pm and 2pm to 5pm.
Our key findings were:
- The management and clinical governance arrangements had been reviewed and improved.
- Improvements had been made to infection control procedures. These were in line with nationally agreed guidance.
- The practice had introduced systems to help them identify and manage risk
- A system of audit was in place to review standards of clinical care.
- The practice had reviewed their processes to ensure incidents were reported and investigated appropriately.
- Risk assessments were in place for the provision of domiciliary care.
- Recruitment procedures reflected guidance. Improvements were needed to the process for obtaining Disclosure and Barring checks.
There were areas where the provider could make improvements. They should:
- Review the practice's protocols and procedures to ensure staff are up to date with their mandatory training and their continuing professional development.
- Review the availability of medicines in the practice to manage medical emergencies taking into account the guidelines issued by the British National Formulary and the General Dental Council. In particular, whether additional adrenaline is required.
- Review the practice’s protocols to ensure audits of infection prevention and control are completed fully and action plans include all documented learning points.
- Review the practice’s sharps procedures to ensure the practice is in compliance with the Health and Safety (Sharp Instruments in Healthcare) Regulations 2013.