Updated 21 May 2020
We undertook a follow up desk-based inspection of The Willows Dental Practice on 22 April 2020. 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 who had access to a specialist dental adviser.
We undertook a comprehensive inspection of The Willows Dental Practice on 19 December 2019 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 The Willows Dental Practice on our website www.cqc.org.uk.
As part of this inspection we asked:
• Is it well-led?
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.
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 19 December 2019.
Background
The Willows Dental Practice is in Belton, Doncaster and provides 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 dedicated parking for people with disabilities, are available at the practice.
The dental team includes two dentists, five dental nurses and one dental hygiene therapist. 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.
We reviewed updated documents which included policies, procedures and photographs submitted as evidence by the provider.
The practice is open:
Monday and Thursday 9am to 5:15pm, Tuesday and Wednesday 9am to 5pm and Friday 9am to 12:15pm.
Our key findings were:
- Legionella management systems complied with guidance.
- Fire safety systems complied with current regulations.
- Safer sharps systems were effective and reflected current regulations.
- The system to ensure appropriate medicines and equipment were in place was effective.
- The provider reviewed the current systems for recording, investigating and reviewing incidents or significant events with a view to preventing further occurrences.
- Clinical waste was managed and disposed of in line with guidance.
- The system to manage audit for quality assurance, learning and improvement was embedded.
- The provider had implemented systems to ensure staff continued to meet the professional standards.
- Leadership and clinical oversight were effective.