8 October 2020
During an inspection looking at part of the service
We undertook a follow up desk-based review of Shakespeare House Dental Practice on 8 October 2020. This follow up was 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 review was led by a CQC inspector who had access to a specialist dental adviser.
We undertook a comprehensive inspection of Shakespeare House Dental Practice on 11 November 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 and well led care and was in breach of regulations 12 and 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 Shakespeare House Dental Practice on our website .
As part of this inspection we asked:
•Is it safe?
•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 safe?
We found this practice was providing safe care in accordance with the relevant regulations.
Are services well-led?
We found this practice was providing well-led care in accordance with the relevant regulations.
Background
Shakespeare House Dental Practice is in Grimsby and provides private treatment for adults and children.
There is a single step to enter the practice. A portable ramp is available to assist people who use wheelchairs and those with pushchairs. Car parking spaces are available near the practice on local roads.
The dental team includes the principal dentist, one dental nurse, one receptionist and the practice manager. The practice has two treatment rooms, with one in use.
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.
As part of the desk-based review, we reviewed the provider’s action plan and all written and photographic evidence submitted to us. The practice had identified where there was a shortfall and had actions in place to ensure the practice was providing safe and well-led care in accordance with the relevant regulations.
The practice is open: Monday 9am – 5.30pm, Tuesday 9am – 5pm, Wednesday 9am – 3pm and Friday 10am – 4pm.
Our key findings were :
- Fire safety management systems were in line with current regulations.
- Systems to ensure equipment held in the medical emergency kit reflected recommended guidance was effective.
- Medicines were prescribed in line with relevant guidance.
- The risk mitigation process to protect staff with a low response to the Hepatitis B vaccination was effective.
- Safe sharps systems had been risk assessed and complied with current regulations.
- A system was in place to confirm the practice’s response to patient safety alerts.
- Audits were carried out in line with guidance.
- All seating in the treatment room was wipeable and complied with relevant guidance.
- Staff awareness of Gillick competency and associated staff responsibilities was reviewed and updated.