Updated 16 September 2020
We undertook a follow up desk-based review of Coven Dental Surgery - Codsall on 26 August 2020. This review was carried out to examine 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 Coven Dental Surgery - Codsall 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 Coven Dental Surgery - Codsall on our website www.cqc.org.uk.
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 (requirement notice only). 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 breach we found at our inspection on 4 February 2020.
Background
Coven Dental Surgery – Codsall is in Codsall, Wolverhampton and provides NHS and 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 in the practice car park.
The dental team includes four dentists, two dental nurses, two trainee dental nurses, one receptionist and a 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.
The practice is open:
Monday to Friday from 9am to 5pm.
Our key findings were:
The provider had made improvements to the management of the service. These included completing an infection prevention and control audit every six months; updating and regularly reviewing thorough risk assessments of legionella and fire; updating and reviewing radiation protection processes and information; updating and reinforcing infection prevention and control processes; reviewing and updating sharps management; and implementing monitoring and tracking systems for prescriptions. These improvements provided a sound footing for the ongoing development of effective governance arrangements at the practice.