Updated 2 August 2017
We carried out an announced comprehensive inspection of this practice on 3 November 2016. 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 breaches in the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014 (Part 3) Regulation 17: Good governance. 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 that requirement. You can read the report from our last comprehensive inspection, by selecting the 'all reports' link for Collingham Dental Practice on our website at www.cqc.org.uk.
We carried out an announced follow up inspection on 13 July 2017 to ask the practice the following key question; Are services well-led?
Our findings were:
Are services well-led?
We found that this practice was providing well-led care in accordance with the relevant regulations.
Background
Collingham Dental Practice is a dental practice providing both NHS and private dental treatment for adults and children. The practice is located in premises close to the centre of the village of Collingham in north Nottinghamshire. There is car parking available to the front of the premises. The practice has four treatment rooms, all four of which are on the first floor, and which are accessed either by a flight of stairs or by a passenger lift.
Services provided include general dentistry, dental hygiene, crowns and bridges, and root canal treatment.
The practice is open from 9 am to 6.30pm on Monday and Wednesdays, 9 am to 5 pm on Tuesdays and Thursdays and 9 am to 2 pm on Fridays. The practice closes from Monday to Thursday for lunch from 1pm to 2 pm.
The practice owner is the registered manager. A registered manager is a person who is registered with the Care Quality Commission to manage the service. 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.
The practice has two dentists who are able to provide general dental services including endodontic (root canal) treatment. They are supported by a dental nurse, a trainee dental nurse, two part time dental hygienists and a practice manager/receptionist.
Our key findings were:
- The practice had reviewed its system for receiving national patient safety and medicines alerts from the Medicines and Healthcare Products Regulatory Authority (MHRA).
- The practice had reviewed its staff recruitment procedures to ensure they were compliant with the regulations. The necessary documentation to demonstrate compliance was available for inspection.
- The practice had reviewed its risk assessment for Legionella. In addition some staff members had completed training in the risks related to Legionella to gain a better understanding of Legionella risk management.
- All dentists involved in taking X-rays were up-to-date with their radiography training.
- The practice had reviewed its systems related to fire safety. This included an updated fire risk assessment, additional staff training and records to demonstrate the necessary checks had been completed in relation to fire safety.