Updated 11 December 2020
We undertook a follow up desk-based review of Stratfield Road Dental Practice on 13 October 2020. This review was carried out to assess in detail the actions taken by the provider to improve the quality of care and to confirm that the practice was now meeting legal requirements.
The review was led by a CQC inspector who was remotely supported by a specialist dental adviser.
We undertook a comprehensive inspection of Stratfield Road Dental Practice on 19 February 2020 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 safe or well-led care and was in breach of regulations 12 and 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 Stratfield Road Dental Practice on our website www.cqc.org.uk.
As part of this review we asked:
• Is it safe?
• Is it well-led?
Our findings were:
Are services safe?
We found this practice was providing safe care in accordance with the relevant regulations.
The provider had made improvements in relation to the regulatory breach we found at our inspection on 3 March 2020.
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 found at our inspection on 3 March 2020.
Background
Stratfield Road Dental Practice is in Basingstoke and provides NHS and 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. Car parking spaces, including those for people with disabilities, are available near the practice.
The dental team includes one dentist, one dental nurse, one trainee dental nurse/administrator and one receptionist. The practice has one treatment room.
The practice is owned by an individual who is the principal dentist. 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 review the provider sent us records to show where improvements had been made.
The practice is open:
- Monday to Friday 9am to 5pm.
- Saturdays by arrangement.
Our key findings were:
- Infection prevention and control procedures were being effectively followed.
- Procedures were in place to reduce the likelihood of legionella in line with guidance.
- The use of dental dams was in line with guidance.
- The practice had collated relevant information concerning radiation protection into a single file.
- Safer sharps procedures and protocols were being followed in line with guidance.
- Dental care records were being completed in line with guidance.
- Emergency equipment was provided in line with guidance.
- A full range audits including antibiotic prescribing and infection prevention control had been implemented.
- A Control of Substances Hazardous to Health (COSHH) Regulations 2002 file had been completed to ensure the safe storage and handling of hazardous substances in line with regulations.
- Staff were aware of prescribing guidelines for medicines, as well as consent policies, including the mental capacity act and Gillick competence.
- Clinical governance had been improved and a number of new policies, protocols and procedures had been implemented with a new clinical governance system.
- An interpreter service was available in the practice.
- Referrals were centrally monitored to ensure none were lost or not actioned.
- An effective staff appraisal system was implemented in line with guidance.
We are mindful of the impact of COVID-19 pandemic on our regulatory function. This meant we took account of the exceptional circumstances arising as a result of the COVID-19 pandemic when considering what enforcement action was necessary and proportionate to keep people safe as a result of this review. We will continue to discharge our regulatory enforcement