Archived: Alma Terrace

Updated 14 December 2016

We carried out a desk based review of this service under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. The inspection was planned to check whether the provider had completed the requirements identified during the comprehensive inspection carried out in June 2016. The checks made were to ensure the provider was now meeting the legal requirement and regulations associated with the Health and Social Care Act 2008.

This review was undertaken by a CQC Lead Inspector on 2 November 2016.

The inspection was carried out as a focused desk based review. The practice was contacted and a request was made for them to submit evidence to demonstrate that they had made the necessary improvements and were now meeting the regulation identified as being breached at the last inspection. The practice’s action plan and a range of information was submitted by the practice and reviewed by the inspector.

We inspected the practice against two of the five questions we ask about services: is the service safe and effective. This is because the service was not meeting some legal requirements.

Updated 14 December 2016

We carried out an announced comprehensive inspection at Alma Terrace Dental Surgery on 20 June 2016 and at this time breaches of a legal requirement were found. After the comprehensive inspection the practice wrote to us and told us that they would take action to meet the following legal requirements set out under the Health and Social Care Act (HSCA) 2008: Regulation 12 of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2010, safe care and treatment and Regulation18 of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2010, staffing.

On 02 November 2016 we carried out a focused review of this service under section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. The review was carried out to check whether the provider had completed the improvements needed and identified during the comprehensive inspection on 20 June 2016. This report only covers our findings in relation to those requirements. You can read the report from our last comprehensive inspection by selecting the ‘all reports’ link for Alma Terrace on our website at cqc.org.uk

Our findings were:

We found that this practice was providing safe care in accordance with the relevant regulations. Improvements needed had been made.

We found that this practice was providing well-led care in accordance with the relevant regulations. Improvements needed had been made.

Background

The practice offers both NHS and limited private primary care dentistry to both adult patients and children. The practice is open Monday and Thursday from 09.00am to 5.00pm. 09.00am to 12.30pm on Wednesday and Friday. Tuesday is late night opening when the practices opens from 9.00am until 7.00pm

There is one dentist, one qualified dental nurse, and a receptionist. Dental care is offered within the surgery and for their patients within the local care home settings where check-up examinations can be performed.

The principal dentist is the registered provider. A registered provider is registered with the Care Quality Commission to manage the service. Registered providers have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the practice is run.

Our key findings were:

• Staff had received safeguarding training and knew how to recognise signs of abuse and how to report it.
• The practice had access to an automated external defibrillator (AED).
• Staff were up to date with their mandatory training and their Continuing Professional Development (CPD).
• Staff were able to deal confidently with all medical emergencies that may arise and have the right equipment ready for use. Staff training and availability of equipment to manage medical emergencies were in place.

The practice had also acted upon other recommendations:

• Implemented a process for the checking of the emergency oxygen cylinder to ensure it was undertaken on a weekly basis.
• Implemented a process for the recording of water temperatures as stated in the Legionella risk assessment.