Maison Dental

We carried out this announced focussed inspection on 9 August 2021 under section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. We planned the inspection to check whether the registered provider was meeting the legal requirements in the Health and Social Care Act 2008 and associated regulations. The inspection was led by a Care Quality Commission, (CQC), inspector who was supported by a specialist dental adviser.

To get to the heart of patients’ experiences of care and treatment, we asked the following three questions:

• Is it safe?

• Is it effective?

• Is it well-led?

These questions form the framework for the areas we look at during the inspection.

Our findings were:

Are services safe?

We found this practice was providing safe care in accordance with the relevant regulations.

Are services effective?

We found this practice was providing effective care in accordance with the relevant regulations.

Are services well-led?

We found this practice was not providing well-led care in accordance with the relevant regulations.

Background

Maison Dental is in Leeds and provides private dental care and treatment for adults and children.

There is a small step to access to the practice which is manageable for those who use wheelchairs and those with pushchairs. Car parking spaces are available near the practice.

The dental team includes three dentists, a dental nurse, a dental hygiene therapist, two receptionists, one treatment co-ordinator and a practice manager. The practice has two treatment rooms.

The practice is owned by a company and as a condition of registration must have a person registered with the CQC 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 Maison Dental is the principal dentist.

During the inspection we spoke with one dentist, one dental nurse, the company clinical manager and the practice manager. We looked at practice policies and procedures and other records about how the service is managed.

The practice is open:

Monday and Tuesday from 8:45am to 7:00pm

Wednesday and Thursday from 8:00am to 7:00pm

Friday from 8:00am to 6:00pm

Saturday from 8:45am to 6:00pm

Our key findings were:

• The practice appeared to be visibly clean and well-maintained.
• The provider had infection control procedures which reflected published guidance.
• Staff knew how to deal with emergencies. The system for checking equipment was within its expiry date was not effective.
• The provider had systems to help them manage risk to patients and staff. Improvements could be made to the process for managing the risks associated with fire, the use of radiation and Covid security.
• The provider had safeguarding processes and staff knew their responsibilities for safeguarding vulnerable adults and children.
• The provider had staff recruitment procedures which reflected current legislation. Improvements could be made to the process for obtaining a current Disclosure and Barring Service (DBS) check.
• The clinical staff provided patients’ care and treatment in line with current guidelines.
• Staff provided preventive care and supported patients to ensure better oral health.
• The provider asked patients for feedback about the services they provided.
• The provider had information governance arrangements.

We identified regulations the provider was not complying with. They must:

• Establish effective systems and processes to ensure good governance in accordance with the fundamental standards of care.

Full details of the regulation the provider was not meeting are at the end of this report.