Updated 27 November 2020
We undertook a follow up focused inspection of J U Shah on 29 October 2020. This inspection was carried out to review in detail the actions taken by the registered provider to improve the quality of care following our comprehensive inspection on 12 March 2019 and to confirm that the practice was now meeting legal requirements.
Prior to our site visit we asked the provider to send us evidence of the improvements they had implemented. This allowed us to carry out a shorter site visit when we confirmed the required improvements to the service had been made.
The inspection was led by a CQC inspector who had remote access to a specialist dental adviser.
We undertook a comprehensive inspection of J U Shah on 12 March 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 safe, effective or well led care and was in breach of regulation 12 safe care and treatment and regulation 17 good governance, 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 J U Shah on our website www.cqc.org.uk.
As part of this inspection, we asked:
• Is it safe?
• Is it effective?
• Is it well-led?
When one or more of the five questions are not met we require the service to make improvements. We then inspect again after a reasonable interval, focusing on the areas where improvement was required.
Our findings were:
Are services safe?
We found this practice was providing safe care in accordance with the relevant regulations.
The provider had made improvements in relation to the regulatory breaches we found at our inspection on 12 March 2019.
Are services effective?
We found this practice was providing effective care in accordance with the relevant regulations.
The provider had made improvements in relation to the regulatory breaches we found at our inspection on 12 March 2019.
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 breaches we found at our inspection on 12 March 2019.
Background
J U Shah is located in Burnt Oak in the London Borough of Brent. The practice provides NHS and private treatments to patients of all ages.
The practice is located on the first floor above a row of retail units and is situated close to public transport bus services.
The dental team includes the principal dentist who owns the practice and one dental nurse/receptionist.
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 normal opening hours are between 9am and 5pm on Mondays to Fridays.
Due to COVID-19 and in line with current guidelines, only pre-booked appointments are available and there may be some alterations to opening times. To help keep people safe additional measures are in place when attending the practice.
Our key findings were:
- There were arrangements to ensure that all areas of the premises were suitably maintained.
- The practice infection control procedures had been reviewed so that they reflect published guidance.
- Infection control audits were carried out every six months or more frequently. There were systems to ensure that single-use items were disposed of appropriately and not reused.
- There were systems to assess and mitigate risks in relation to fire and Legionella.
- Improvements were made to ensure that patients’ received care and treatment, including preventive care in line with current guidelines.
- Improvements had been made to the leadership and managerial oversight for the day-to-day running of the service.