Updated 22 November 2019
We undertook a follow up inspection of Maggie's Independent Dental Hygiene Service (MIDHS) at Beacon Business Centre on 28 October 2019. 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 who had remote access to a specialist dental adviser.
We undertook a comprehensive inspection of MIDHS at Beacon Business Centre on 25 March 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 regulation 12,17,19 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 MIDHS at Beacon Business Centre on our website www.cqc.org.uk.
As part of this inspection we asked: Remove as appropriate:
• 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 (requirement notice only). 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.
The provider had made improvements in relation to the regulatory breach we found at our inspection on 25 March 2019.
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 breaches we found at our inspection on 25 March 2019.
Background
Maggie's Independent Dental Hygiene Service (MIDHS) is in Mossley and provides private treatment to adults and children. This is primarily a dental hygiene service, with a routine dentistry provision one day a week. There is single step access into the practice. Car parking spaces are available near the practice.
The dental team includes, two dental hygienists (one of whom is the provider), one dentist, two dental nurses and the accounts manager/receptionist. The practice has one treatment room. The practice is owned by a company 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 MIDHS is the provider.
During the inspection we spoke with the provider, dental nurses and the accounts manager/receptionist. We looked at practice policies and procedures and other records about how the service is managed.
The practice is open: Monday, Wednesday and Thursday 9am to 5pm.
Our key findings were:
- The provision of a conscious sedation had ceased on the 5 March 2019.
- Action was taken to address the recommendations in the fire risk assessment.
- A system was in place to receive and act on patient safety alerts.
- A system was in place to identify and investigate incidents and significant events.
- The system to ensure the effectiveness of the Hepatitis B vaccination was now effective.
- Quality assurance processes were now embedded in respect to X-ray and radiography processing equipment.
- Continuing professional development was now being effectively monitored.
- An effective system was in place to carry out and review patient care record and X-ray audits in line with guidance issued by the Faculty of General Dental Practice (UK) (FGDP).
- The system to ensure staff recruitment checks are carried out and risk assessed when appropriate was updated and embedded.
- Practice protocols were updated to ensure clinical staff remained up-to-date with guidance issued by the FGDP antimicrobial prescribing.
- The system to risk assess the use of dental materials which could be considered hazardous to health was now effective.