Updated 14 November 2019
We undertook a follow up desk-based inspection of Butt Lane Dental Practice on 23 October 2019. This inspection was carried out to review 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 inspection was led by a CQC inspector who had access to remote advice from a specialist dental adviser.
We undertook a comprehensive inspection of Butt Lane Dental Practice on 11 February 2019 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 Butt Lane dental practice on our website www.cqc.org.uk.
As part of this inspection 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 inspect again after a reasonable interval, focusing on the area(s) 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 11 February 2019.
Background
Butt Lane dental practice is in Talke, Stoke on Trent and provides NHS and private treatment for adults and children.
A portable ramp is available to provide access for people who use wheelchairs and those with pushchairs. Car parking spaces are available on the road at the front of the practice and on side roads near the practice. There is a car park within a short walk of the practice.
The dental team includes two dentists, five dental nurses, two dental hygiene therapists, a cleaner, an administration assistant and a receptionist. The practice has three treatment rooms.
The practice is owned by a partnership and as a condition of registration must have a person registered with the Care Quality Commission as the registered manager. Registered managers 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 registered manager at Butt Lane dental practice is the principal dentist.
During the inspection we checked that the registered provider’s action plan had been implemented. We reviewed a range of documents provided by the registered provider.
The practice is open: Monday and Tuesday 11am to 2pm and 3pm to 7pm. Wednesday 8.15am to 12.15pm and 1.30pm to 4.15pm. Thursday and Friday 9am to 1pm and 2pm to 5pm.
Our key findings were:
The registered person had implemented a sharps risk assessment.
The provider confirmed that risk assessments had been completed for each hazardous substance in use at the practice.
The provider had completed an infection prevention and control audit and highlighted issues for action; subsequent action had been taken to address the issues.
The practice had completed an audit regarding antibiotic prescribing.
The registered person had developed a sepsis protocol which included information to enable assessment of patients with presumed sepsis in line with National institute of Health and Care Excellence guidance.
The registered person had introduced a proforma to ensure that dental care records were completed taking into account the guidance provided by the Faculty of General Dental Practice.
The practice had developed a protocol for the use of rubber dam for root canal treatment taking into account guidelines issued by the British Endodontic Society.
Staff had completed training regarding the requirements of the Mental Capacity Act 2005.
Cloth covered seating in dental treatment rooms and carpet on flooring had been replaced to help maintain high standards of cleanliness and infection control.