Clayton Brook Dental

Updated 10 December 2015

We carried out an announced focused inspection on 27 October 2015. The reason for this inspection was to gain assurance that the practice had addressed the concerns identified in our inspection of the 10 June 2015. We found that, in June 2015, the practice was not meeting Regulation 17 - Good Governance.

Updated 10 December 2015

We carried out an announced focused inspection on 27 October 2015. The reason for this inspection was to gain assurance that the practice had addressed the concerns identified in our inspection of the 10 June 2015. We found that, in June, the practice was not meeting Regulation 17 - Good Governance.

Our findings were:

Are services well-led?

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

The practice is an NHS funded family partnership situated in the centre of Clayton Brook in Chorley. There is one principal dentist and an associate dentist. The practice also employs a dental hygienist, two dental nurses, and two cadent dental nurses. The practice manager is also a qualified dental nurse but their main duty is to cover receptionist duties. A new role for the implementation and monitoring of governance processes had been put in place.

Our key findings were:

• The practice has implemented a system which recorded and analysed significant events and complaints and cascaded learning to staff.
• The practice had a structure and process in place to monitor staff training.
• The problems with clinical waste storage had been addressed.
• The practice had implemented a new leadership and governance structure.
• Short falls in the governance systems had been actioned.
• All practice policies and procedures had been reviewed. All procedures were generic and practice specific.
• A full audit of records relating to the employed staff had been conducted and gaps in information was being followed up.
• An approach for identifying and addressing concerns raised through audit had been put into place.
• A standard staff meeting template enabled communication about the quality and safety of services and what actions have been taken as a result of audits, concerns, complaints and compliments to be shared with staff.