Archived: Hockwell Dental Surgery

Updated 30 June 2016

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection was planned to check whether the practice was meeting the legal requirements and regulations associated with the Health and Social Care Act 2008.

The inspection was carried out on the 12th May by a CQC inspector.

During the inspection we spoke with staff and reviewed policies and procedures to ensure that improvements had been made in response to our previous inspection.

Updated 30 June 2016

We carried out an announced comprehensive inspection of this practice on 15 October 2015. Breaches of legal requirements were found. After the comprehensive inspection, the practice wrote to us to say what they would do to meet legal requirements in relation to the following key questions; Are services safe and well-led?

We undertook this focused inspection to check that they had followed their plan and to confirm that they now met legal requirements. This report only covers our findings in relation to those requirements. You can read the report from our last comprehensive inspection, by selecting the 'all reports' link for Hockwell Dental Surgery on our website at www.cqc.org.uk

Our findings were:

Are services safe?

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

Are services well-led?

We found that this practice was providing well-led care in accordance with the relevant regulations.

Background

CQC inspected the practice on 15 October 2015 and asked the provider to make improvements regarding infection control, equipment maintenance and servicing, safe use of X-ray equipment, security of the unmanned reception area, monitoring of the medicine fridge temperature, storage and transportation of waste, risk assessments for fire, Legionella and control of substances hazardous to health, implementation of clinical audits, regular review of policies and appropriate disclosure and barring service checks for clinical staff . We checked these areas and found these had been resolved, and significant work had been undertaken in the improvement of the service.

The principal dentist is registered with the Care Quality Commission (CQC) as an individual. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the practice is run.

Our key findings were:

• Infection control procedures met the standard set out in the ‘Health Technical Memorandum 01-05 (HTM 01-05): Decontamination in primary care dental practices.’ published by the Department of Health.

• Steps had been taken to address the concerns raised by the reception area being unmanned whilst treatment was carried out in the treatment room.

• Comprehensive risk assessments had been carried out regarding Legionella (a bacterium that can contaminate the water supply of buildings) and fire. The practice had implemented a risk assessment in regard of the Control of Substances Hazardous to Health 2002 Regulations.

• Disclosure and barring service checks had been carried out on all clinical staff and Hepatitis B inoculation status reports were on record for all clinical staff.