Updated 21 August 2017
We carried out a follow- up inspection at Bank Parade Dental Practice on the 24 July 2017.
We had undertaken an announced comprehensive inspection of this service on the 25 October 2016 as part of our regulatory functions where a breach of legal requirements was found.
After the comprehensive inspection, the practice manager 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 that requirement.
We reviewed the practice against one of the five questions we ask about services: is the service safe and well led? You can read the report from our last comprehensive inspection, by selecting the 'all reports' link for Bank Parade Dental Practice on our website at www.cqc.org.uk.
We revisited Bank Parade Dental Practice as part of this review and checked whether they had followed their action plan and to confirm that they now met the legal requirements. We carried out this unannounced inspection on 24 July 2017 under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. We planned the inspection to check whether the registered provider was meeting the legal requirements in the Health and Social Care Act 2008 and associated regulations.
The inspection was led by a CQC inspector with remote support from a specialist dental adviser.
Our findings were:
We found that this practice was now providing well-led care in accordance with the relevant regulations.
Background
Bank Parade Dental Practice is situated in close to Burnley town centre, Lancashire. The practice offers mainly NHS dental treatment but also offers private treatments. The practice has three surgeries; one located on the ground floor and two on the first floor. There is a dedicated decontamination area, a reception area, waiting rooms on the ground and first floor and a patient toilet.
There is one dentist, a dental hygienist and three dental nurses who also undertake receptionist duties.
The practice is open: Monday to Friday 9am-5pm.
The practice is owned by an individual. 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.
Our key findings were:
- The COSHH file had been updated.
- The Radiation Protection File was complete.
- There was a recruitment policy and procedure in place and robust checks completed on staff.
- A robust system was in place for dealing with complaints.
- Paper dental records were now stored securely.
- Risk assessments were in place to assess the risks to patients and staff including, fire, and the use of sharps.
- An Infection Prevention audit was completed.
- The electrical safety assessment was in place.
The practice had also acted upon other recommendations:
- A review of the decontamination area was completed to determine if the security is sufficient and the area fit for its intended purpose.
- A review and risk assessment for legionella was in place and actions in place to minimise risk.