Updated 14 November 2022
We undertook a follow up focused inspection of M I Bholah Dental Practice on 14 October 2022. 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 was supported by a specialist dental adviser.
We undertook a focused inspection of M I Bholah Dental Practice on 7 July 2022 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 or well led care and was in breach of regulations 12 and 17 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 M I Bholah Dental Practice on our website www.cqc.org.uk.
As part of this inspection we asked:
• Is it safe?
• Is it well-led?
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 7 July 2022.
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 7 July 2022.
Background
The provider has 2 practices and this report is about M I Bholah Dental Practice.
The practice is in Gosforth in Newcastle Upon Tyne and provides NHS dental care and treatment for adults and children.
There is level access to the practice for people who use wheelchairs and those with pushchairs. The practice is located near local transport routes and car parking spaces are available at the practice and in the surrounding streets.
The dental team includes a principal dentist and 2 dental nurse/receptionists. The practice has 1 treatment room.
During the inspection we spoke with the dentist and a dental nurse/receptionist. We looked at practice policies and procedures and other records about how the service is managed.
The practice is open:
Monday and Wednesday from 9:30am to 12:30pm
Tuesday from 9:30am to 12:30pm and from 1:30pm to 5pm
Thursday from 1:30pm to 5pm
Friday from 2pm to 5pm
There were areas where the provider could make improvements. They should:
- Improve the practice's systems for assessing, monitoring and mitigating the various risks arising from the undertaking of the regulated activities. In particular, relating to the ongoing management of Legionella and ensuring all recommendations made in the fire safety risk assessment were actioned.
- Take action to improve audits to ensure that, where appropriate, audits have documented learning points, action plans and the resulting improvements can be demonstrated.