Updated 7 October 2019
We undertook a follow up desk-based inspection of Chester Cosmetic Centre Limited on 10 September 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 was supported remotely by a specialist dental adviser.
We undertook a comprehensive inspection of Chester Cosmetic Centre Limited on 17 June 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 Chester Cosmetic Centre Limited 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. We then inspect 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 17 June 2019
Background
Chester Cosmetic Centre Limited is in Upton, near Chester. The practice provides private dental care for adults and children.
There is ramp access for people who use wheelchairs and those with pushchairs. Car parking is available outside the practice.
The dental team includes a principal dentist, two associate dentists, visiting dentists who provide periodontal treatment and orthodontic treatment, two dental hygienists, and three dental nurses, one of whom is a trainee. The dental team is supported by a practice manager. The practice has three treatment rooms.
The practice is owned by a company 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 Chester Cosmetic Centre Limited is the principal dentist.
The practice is open:
Monday and Wednesday 9.00am to 5.00pm
Tuesday 9.00am to 6.30pm
Thursday 8.30am to 4.30pm
Friday 9.00am to 1.00pm.
Our key findings were:
- Systems to help them manage risk to patients and staff had improved.
- The provider had improved their staff recruitment procedures.
- Protocols for sharp’s injuries were detailed with appropriate contact information.
- Staff were provided with information regarding Gillick competency and the requirements of the Mental Capacity Act 2005.
- Medical emergency drugs and equipment was available in line with recognised guidance. The provider had improved their systems to monitor these.
- The provider had reviewed and acted to improve the security of the clinical waste bin.
- A colour-coded protocol for environmental cleaning was now in place for staff reference.
- Improvements were found in the practice’s radiography audit processes.