Updated 9 November 2018
We undertook a focused inspection of Thorne Road Dental Practice on 18 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 led by a CQC inspector.
We undertook a comprehensive inspection of Thorne Road Dental Practice on 18 June 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 Thorne Road 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 area 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 found at our inspection on 18 June 2018.
Background
Thorne Road Dental Practice is in Doncaster and provides NHS and occasional private treatments to adults and children. Thorne Road Dental practice is part of the P B Robinson Group.
There is step access into the practice without adequate space for a ramp to assist people who use wheelchairs. Patients who require step free access are referred to a practice nearby. Car parking is available near the practice and some parking is available on the main road for patients with blue badges.
The dental team includes three dentists, three dental nurses and one receptionist. The practice has four treatment rooms with only three in use.
The practice is owned by a company and as a condition of registration must have a person registered with the Care Quality Commission as the registered manager. Registered managers have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated regulations about how the practice is run. The registered manager at Thorne Road Dental Practice was the area manager.
During the inspection we spoke with the area manager and received e-mail correspondence from the company director to support our findings. We looked at practice policies and procedures and other records about how the service is managed.
The practice is open:
Monday to Friday 8am – 5pm
Our key findings were:
- The practice had suitable safeguarding processes and staff knew their responsibilities for safeguarding vulnerable adults and children.
- The provider had improved the practice systems to help them manage risk to patients and staff. This included the process to manage safety checks for facilities and electrical equipment.
- Staff knew how to deal with emergencies. Appropriate medicines and life-saving equipment were now available.
- The provider had reviewed its infection control procedures which now reflected published guidance.
- The provider had put systems in place to monitor and track prescriptions and referrals to other service providers.
- The provider had reviewed its systems of providing preventive care and supporting patients to ensure better oral health.
- The provider had put systems in place to monitor and track prescriptions and referrals.
- The provider had reviewed the responsibilities for the practice cleaner.
- The provider had reviewed its responsibilities in respect to the needs of patients with disabilities.
There were areas where the provider could make improvements. They should:
- Review the practice’s processes to ensure that facilities checks are completed in a timely manner, in particular: portable appliance testing.
- Review the practice’s processes in line with the fire risk assessment to ensure the actions required are completed, in particular: In-house smoke detector function checks.