Updated 21 November 2018
We undertook a follow-up focused inspection of Roch Valley Dental on 19 October 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.
We undertook a comprehensive inspection of Roch Valley Dental on 15 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 Roch Valley Dental 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 15 May 2018.
Background
Roch Valley Dental is in Rochdale and provides NHS and private treatment for adults and children.
There is a ramp at the side of the premises for people who use wheelchairs and those with pushchairs. The practice has a free car park, which includes spaces for blue badge holders.
The dental team includes seven dentists (two of whom are foundation dentists), 20 dental nurses (four of whom are trainees), three dental hygiene therapists, three receptionists and a practice manager. The practice has seven treatment rooms. Roch Valley Dental is a foundation training practice. Dental foundation training is a post-qualification training period, mainly in general dental practice, which UK dental graduates need to undertake to work in NHS practice.
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 Roch Valley Dental was the practice manager.
During the inspection we spoke with the practice manager. We looked at practice policies and procedures and other records about how the service is managed.
The practice is open: Monday to Friday 8:30am to 5:45pm
Our key findings were:
- The practice had systems to identify and manage risk effectively.
- The practice had improved safeguarding processes.
- Staff files had been reviewed and now contained evidence of photographic identification, indemnity and immunity.
- The safety and use of radiography had been reviewed.
- A system was in place to audit radiography and infection prevention and control.
- The practice had introduced a sedation policy, this was in line with nationally agreed guidance.
There were areas where the provider could make improvements. They should:
- Review the process to track and monitor the use of NHS prescription pads.