Updated 13 August 2024
We carried out this on-site, announced assessment on 14 October 2024. We found the practice had not met all regulations. At the time of our assessment, patients could access care, support and treatment when required. However, there was a lack of effective leadership and not all risks associated with undertaking of regulated activities had been suitably identified and mitigated. We noted that the internal fire risk assessment did not identify risks such as the Electrical Installation Condition Report showing as unsatisfactory and emergency lighting had not been serviced. Recruitment processes and processes for overseeing ongoing performance and training were not effective. This service is registered with CQC under the Health and Social Care Act 2008 in respect of some, but not all, of the services it provides. There are some exemptions from regulation by CQC which relate to particular types of regulated activities and services and these are set out in Schedule 1 and Schedule 2 of The Health and Social Care Act 2008 (Regulated Activities) Regulations 2014. The service provides non-surgical cosmetic treatments, some of which are not in-scope such as certain facial aesthetics procedures. The practice is in Leamington Spa, Warwickshire and provides NHS and private dental care and treatment for adults and children. There was step free access to the practice and car parking spaces, including dedicated parking for disabled people, were available near the practice. The practice had 6 treatment rooms. During the assessment we spoke with 3 dentists, 1 dental nurse, 2 receptionists, the practice manager and the business manager. The provider was not complying with all regulations. Full details of the regulation the provider was not meeting are within the quality statement section of the report. We have asked the provider for an action plan in response to the concerns found at this assessment.