Updated 28 December 2018
We undertook a focused inspection of Lillywhite Dental Practice on 26 November 2018. 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 by a specialist dental adviser.
We undertook a comprehensive inspection of Lillywhite Dental Practice on 17 May 2018 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 in accordance with the relevant regulations 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 Lillywhite dental practice on our website www.cqc.org.uk.
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 area where improvement was required.
As part of this inspection we asked:
• Is it well-led?
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 May 2018.
Background
Lillywhite Dental Practice is in Morden and provides NHS and private treatment to adults and children.
The practice is on the second floor of a medical centre. There is level access via a lift for people who use wheelchairs and those with pushchairs. There is non-restricted parking in surrounding roads.
The dental team includes three dentists, one dental nurse, one trainee dental nurse one dental hygienist and two receptionists. The practice has two 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 Lillywhite Dental Practice is one of the principal dentists.
During the inspection we spoke with the principal dentists and one of the dental nurses. We looked at practice policies and procedures and other records about how the service is managed.
Our key findings were:
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The provider had appropriate systems for monitoring equipment, and ensuring they were maintained in line with manufacturers guidance.
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The provider had established systems to ensure good governance in accordance with the fundamental standards