Updated 11 August 2020
We undertook a follow up desk-based review of Churchview Dental Practice on 2 July 2020. This review 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 review was led by a CQC inspector who had access to a specialist dental adviser.
We undertook a comprehensive inspection of Churchview Dental Practice on 4 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 well led care and was in breach of regulation 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 Churchview Dental Practice on our website.
As part of this desk-based review, we reviewed the provider’s action plan and evidence submitted to us. The practice had identified where there was a shortfall and had actions in place to ensure the practice was providing well-led care in accordance with the relevant regulations.
Our findings were:
Are services well-led?
We found this practice was providing well-led care in accordance with the relevant regulations.
Background
Churchview Dental Practice is in Doncaster and provides private dental care and treatment for adults and children. The practice also holds a small NHS children’s contract.
There is level access to the practice for people who use wheelchairs and those with pushchairs. Car parking spaces are available near the practice.
The dental team includes two dentists, two dental nurses, one dental hygiene therapist and two receptionists. The team is supported by the practice manager. The practice is visited on an ad-hoc basis by an implantologist and an implant trained dental nurse. The practice has two 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.
The practice is open:
Monday, Tuesday and Thursday 8:30am – 5:30pm.
Wednesday 8:30am – 12pm.
Friday 8:30am – 5pm.
Our key findings were :
- Infection prevention and control systems were in line with recommended guidance.
- The system to ensure equipment held in the medical emergency kit reflected recommended guidance was effective.
- Safe sharps systems had been effectively risk assessed and complied with current regulations.
- NHS prescriptions usage was in line with current guidance.
- A system was in place to confirm the practice’s response to patient safety alerts.
- A system was introduced to ensure a risk assessment was undertaken to mitigate role specific risks in respect to a low response to the Hepatitis B vaccination.
- A system was in place to ensure a risk assessment was undertaken in respect to accepting a DBS from a previous employer for visiting, locum and temporary staff.
- Visiting and locum staff were inducted appropriately.
- The provider was able to demonstrate the fixed wiring electrical safety of the practice.
- Risk assessments in respect to the Control of Substances Hazardous to Health Regulations 2002, were updated to include first aid measures.
- Action was taken to ensure sepsis awareness information and prompts for staff were visible to ensure early recognition, diagnosis and early management of sepsis.