Dental Surgery

Updated 18 November 2016

We carried out a desk based review of this service under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. The inspection was planned to check whether the provider had completed the requirements identified during the comprehensive inspection carried out in August 2015. The checks made were to ensure the provider was now meeting the legal requirement and regulations associated with the Health and Social Care Act 2008.

This review was undertaken by a CQC Lead Inspector on 21 October 2016.

The inspection was carried out as a focused desk based review. The practice was contacted and a request was made for them to submit evidence to demonstrate that they had made the necessary improvements and were now meeting the regulation identified as being breached at the last inspection. The practice’s action plan and a range of information was submitted by the practice and reviewed by the inspector.

We inspected the practice against one of the five questions we ask about services: is the service well-led? This is because the service was not meeting some legal requirements.

Updated 18 November 2016

We carried out an announced comprehensive inspection at Dental Surgery (Mr. Richard Kuncewicz) on 25 August 2015 and at this time breaches of a legal requirement were found. After the comprehensive inspection the practice wrote to us and told us that they would take action to meet the following legal requirements set out in the Health and Social Care Act (HSCA) 2008:

Regulation 17 of the Health and Social Care Act 2008 (Regulated Activities) Regulation 2010, Good Governance.

On 21 October 2016 we carried out a focused review of this service under section 60 of the Health and Social care Act 2008 as part of our regulatory functions. The review was carried out to check whether the provider had completed the improvements needed and identified during the comprehensive inspection on 25 August 2015. This report only covers our findings in relation to those requirements. You can read the report from our last comprehensive inspection by selecting the ‘all reports’ link for Dental Surgery ( (Mr. Richard Kuncewicz) on our website at cqc.org.uk

Our findings were:

We found that this practice was providing well-led care in accordance with the relevant regulations. Improvements needed had been made.

Background

The practice is situated in the Northwood area of Kirby, Liverpool. It is a converted shop within a small shopping precinct. The practice has one principal dentist and one associate dentist. There are two trainee dental nurses and one qualified dental nurse who also acts as the practice manager. The practice provides primary dental services to NHS patients. The practice is open Monday to Friday 9am – 1pm and 2pm -5.30pm.

The principal dentist is the registered provider. A registered provider is registered with the Care Quality Commission to manage the service. Registered providers have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the practice is run.

Our key findings were:

• There were effective systems and processes are in place to assess, monitor and improve the quality and safety of services and to evaluate and improve their practice.
• An infection control audit had been undertaken based on the infection prevention society audit tool.
• Radiograph audits had been undertaken six monthly and results reviewed.

The practice had also acted upon other recommendations:

• Systems and processes were in place to ensure that national patient safety and other relevant alerts and guidance was followed and actions taken documented.
• Equipment and medicines to manage medical emergencies were in place and reflected guidance issued by the Resuscitation Council (UK), and the General Dental Council (GDC) standards for the dental team. Weekly checks were undertaken and documented.
• A documented recruitment policy and procedure was in place.
• An appraisal system had been implemented that included assessment of performance and development needs. We saw evidence of staff appraisals having been carried out.
• A training and development plan for practice nurses was in place.
• Staff had received training and were aware of the requirements of the Mental Capacity Act (MCA) 2005 and their responsibilities under the Act as it related to their role.
• Improvements had been made to the practice premises and facilities which enabled suitable cleaning to take place in line with guidance and legislation to minimise the risk of infection.
• Staff meetings were documented and had been held on a regular quarterly basis.

There were areas where the provider could make improvements and they should:

Review the recruitment policy and procedures to ensure the requirement to obtain an appropriate Disclosure and Barring Service (DBS) check is documented and carried out prior to recruitment.

We carried out an announced comprehensive inspection at Dental Surgery (Mr. Richard Kuncewicz) on 25 August 2015 and at this time breaches of a legal requirement were found. After the comprehensive inspection the practice wrote to us and told us that they would take action to meet the following legal requirements set out in the Health and Social Care Act (HSCA) 2008:

Regulation 17 of the Health and Social Care Act 2008 (Regulated Activities) Regulation 2010, Good Governance.

On 21 October 2016 we carried out a focused review of this service under section 60 of the Health and Social care Act 2008 as part of our regulatory functions. The review was carried out to check whether the provider had completed the improvements needed and identified during the comprehensive inspection on 25 August 2015. This report only covers our findings in relation to those requirements. You can read the report from our last comprehensive inspection by selecting the ‘all reports’ link for Dental Surgery ( (Mr. Richard Kuncewicz) on our website at cqc.org.uk

Our findings were:

We found that this practice was providing well-led care in accordance with the relevant regulations. Improvements needed had been made.

Background

The practice is situated in the Northwood area of Kirby, Liverpool. It is a converted shop within a small shopping precinct. The practice has one principal dentist and one associate dentist. There are two trainee dental nurses and one qualified dental nurse who also acts as the practice manager. The practice provides primary dental services to NHS patients. The practice is open Monday to Friday 9am – 1pm and 2pm -5.30pm.

The principal dentist is the registered provider. A registered provider is registered with the Care Quality Commission to manage the service. Registered providers have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the practice is run.

Our key findings were:

• There were effective systems and processes are in place to assess, monitor and improve the quality and safety of services and to evaluate and improve their practice.
• An infection control audit had been undertaken based on the infection prevention society audit tool.
• Radiograph audits had been undertaken six monthly and results reviewed.

The practice had also acted upon other recommendations:

• Systems and processes were in place to ensure that national patient safety and other relevant alerts and guidance was followed and actions taken documented.
• Equipment and medicines to manage medical emergencies were in place and reflected guidance issued by the Resuscitation Council (UK), and the General Dental Council (GDC) standards for the dental team. Weekly checks were undertaken and documented.
• A documented recruitment policy and procedure was in place.
• An appraisal system had been implemented that included assessment of performance and development needs. We saw evidence of staff appraisals having been carried out.
• A training and development plan for practice nurses was in place.
• Staff had received training and were aware of the requirements of the Mental Capacity Act (MCA) 2005 and their responsibilities under the Act as it related to their role.
• Improvements had been made to the practice premises and facilities which enabled suitable cleaning to take place in line with guidance and legislation to minimise the risk of infection.
• Staff meetings were documented and had been held on a regular quarterly basis.

There were areas where the provider could make improvements and they should:

Review the recruitment policy and procedures to ensure the requirement to obtain an appropriate Disclosure and Barring Service (DBS) check is documented and carried out prior to recruitment.