Updated 29 August 2017
We carried out a follow-up inspection at Hayes Croft Dental Surgery on the 9 August 2017.
We had undertaken an announced comprehensive inspection of this service on the 19 June 2017 as part of our regulatory functions where a breach of legal requirements was found.
After the comprehensive inspection, the principal dentist wrote to us to say what they would do to meet the legal requirements in relation to the breach. This report only covers our findings in relation to that requirement.
We reviewed the practice against one of the five questions we ask about services: are the services well led? You can read the report from our last comprehensive inspection, by selecting the 'all reports' link for Hayes Croft Dental Surgery on our website at www.cqc.org.uk.
We revisited Hayes Croft Dental Surgery as part of this review and checked whether they had followed their action plan and to confirm that they now met the legal requirements. We carried out this announced inspection on 9 August 2017 under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. We planned the inspection to check whether the registered provider was meeting the legal requirements in the Health and Social Care Act 2008 and associated regulations.
The inspection was led by a CQC inspector who was supported by a specialist dental adviser.
• Is it well-led?
This question forms the framework for the areas we look at during the inspection.
Our findings were:
Are services well-led?
We found that this practice was providing well-led care in accordance with the relevant regulations.
Background
Hayes Croft Dental Surgery is in Barnsley and provides NHS treatment to patients of all ages.
Access into the practice is via a set of steps. The treatment room and main waiting areas are on the first floor. Alternative arrangements are available for patients with limited mobility. Car parking spaces are available near the practice.
The dental team includes one dentist, two dental nurses and a practice manager. The practice has one treatment room.
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 inspection we spoke with one dentist, two dental nurses and the practice manager. We looked at practice policies and procedures and other records about how the service is managed.
The practice is open:
Monday 8.30am – 6.30pm
Tuesday, Wednesday, Thursday 8.30am – 5.00pm
Friday 8.30am – 2.00pm
Our key findings were:
- The practice was clean and well maintained.
- The practice had infection control procedures which reflected published guidance.
- Staff knew how to deal with emergencies. Appropriate medicines and life-saving equipment were available.
- The practice had systems to help them manage risk.
- The clinical staff provided patients’ care and treatment in line with current guidelines.
- Staff treated patients with dignity and respect and took care to protect their privacy and personal information.
- The practice had effective leadership. Staff felt involved and supported and worked well as a team.
- The practice asked staff and patients for feedback about the services they provided.
There were areas where the provider could make improvements. They should:
Review the practice’s current infection control audit with all staff and implement change where possible taking into account actions which cannot be immediately implemented by annotating a future date for review.