Archived: Welcare Dental Centre

Updated 10 October 2016

The inspection was carried out on 26 August 2016 and was led by a CQC inspector.

The methods that were used to collect information at the inspection included interviewing staff and reviewing documents.

During the inspection we spoke with the registered manager. We reviewed policies, procedures, and other records relating to the management of the service.

Updated 10 October 2016

We carried out an announced follow up inspection on 25 August 2016 to ask the practice the following key questions; Are services safe and well-led following the findings from our comprehensive inspection on 16 March 2016.

Our findings were:

Are services safe?

We found that this practice was now providing safe care in accordance with the relevant regulations.

Are services well-led?

We found that this practice was now providing well-led care in accordance with the relevant regulations.

Background

CQC inspected the practice on 16 March 2016 and asked the provider to make improvements regarding safe and well led care. We checked these areas as part of this comprehensive inspection and found this had been resolved.

In March we deemed the provider to be in breach of:

Regulation 12 HSCA 2008 Regulations 2014 Safe Care and Treatment

How the regulation was not being met:

• The provider did not have effective systems and procedures in place to maintain the safety of their premises and the equipment within it.

Regulation 18 HSCA 2008 Regulations 2014 Staffing

How the regulation was not being met:

• Staff did not receive appropriate support, training, professional development, supervision and appraisal as necessary to enable them to carry out their duties.

Regulation 19 HSCA 2008 Regulations 2014 Fit and Proper Persons employed

How the regulation was not being met:

• The practice recruitment arrangements were not in line with Schedule 3 of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014 to ensure necessary employment checks are in place for all staff and the required specified information in respect of persons employed by the practice are held.

The practice offers NHS primary care dentistry to adult patients and children. The practice is owned by Welcare Dental Practice. There are two dentists, two dental nurses, one trainee dental nurse, one receptionist and a practice manager.

The practice is open Monday to Thursday from 8.00am to 4.00pm, and Fridays from 8.00am to 2.00pm. A longer opening time is offered on a Tuesday until 5pm.

The principal dentist is registered with the Care Quality Commission (CQC) as an individual. Like registered providers, they are ‘registered persons’. Registered persons 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 in August 2016 were:

• There were suitable arrangements for the purchase, service, maintenance, renewal and replacement of premises (including grounds) and equipment.
• Staff were up to date with their mandatory training and their Continuing Professional Development (CPD)
• The practice's recruitment policy and procedures had been revised in line with Schedule 3 of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014 which ensured necessary employment checks were in place for all staff and the required specified information in respect of persons employed by the practice was held.
• All furniture in the premises had been risk assessed to ensure they did not cause a breach in infection control. Damaged furniture had been sent for repair.
• Staff had received training in the requirements of the Mental Capacity Act (MCA) 2005 and all staff were aware of their responsibilities under the Act as it related to their role.
• A system had been put in place to check medicines and equipment used to manage medical emergencies adhered to guidelines issued by the Resuscitation Council (UK), and the General Dental Council (GDC) standards for the dental team.