Updated 7 August 2020
We undertook a follow up desk-based review of Dr A M Tabrizi Dental Practice Limited on 24 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.
We undertook a comprehensive inspection of Dr A M Tabrizi Dental Practice Limited on 11 July 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 and regulation 18 of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014.
At a follow up inspection on 19 December 2019 we found the registered provider had made some improvements to put right the shortfalls we found at our inspection on 11 July 2019. However, the registered provider had made insufficient improvements to amend all of the shortfalls and we found there was a continued breach of regulation 17 (Good governance). You can read our report of that inspection by selecting the 'all reports' link for Dr A M Tabrizi Dental Practice Limited on our website .
As part of this review 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 review again after a reasonable interval, focusing on the areas where improvement was required.
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 breaches we found at our inspections on 11 July 2019 and 19 December 2019.
Background
Dr A M. Tabrizi Dental Practice Limited is in Ipswich and provides NHS and private treatment to adults and children.
There is no level access for people who use wheelchairs or those with pushchairs. Car parking spaces, including spaces for blue badge holders, are available in car parks near the practice.
The dental team includes one full time dentist, one senior dental nurse/receptionist, one dental nurse, one trainee dental nurse (currently on maternity leave), one dental hygienist and the practice manager. The practice has three 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.
During the review we liaised with the practice manager. We looked at practice policies and procedures and other records about how the service is managed.
The practice is open:
Monday to Thursday from 9am to 5pm.
Friday from 9am to 4pm. Alternate Saturdays from 9.30am to 1pm.
Our key findings were :
- Audits to assess the quality of service were in place. These included antimicrobial audits, audits of dental records and infection prevention and control audits.
- The actions identified during the August 2018 fire risk assessment had been reviewed and completed.
- There was evidence of the hygienist being registered with the General Dental Council (GDC) and a valid indemnity insurance in place.
- The practice had systems in place to ensure recruitment information was obtained and recorded in staff records. These included the correct disclosure and barring checks and a record of their immunity to hepatitis B.
- The practice had recruited a practice manager who had reviewed all systems and protocols within the practice.
- The practice manager had recruited a qualified dental nurse to support the running of the practice and provide support, professional development and supervision for the trainee dental nurses.
- There was evidence of professional support in place for the hygienist.
- A risk assessment was in place for when the hygienist worked without chair side support.
- We were assured that the trainee dental nurses were on established college courses.