Updated 19 March 2020
We undertook a focused inspection on 22 January 2020. 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 comprehensive inspection of Concordia Dental Healthcare on 10 May 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 regulations 12, 17 and 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 Concordia Dental Healthcare on our website www.cqc.org.uk.
As part of this inspection we asked:
• 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. We then inspect again after a reasonable interval, focusing on the areas where improvements were 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 breaches we found at our inspection on 10 May 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 10 May 2019.
Background
Concordia Dental Healthcare is in East Grinstead and provides private treatment for adults and children.
There is level access for people who use wheelchairs and those with pushchairs. Car parking spaces, including some for blue badge holders, are available near the practice.
The dental team includes one dentist, two dental nurses, one of which is a trainee nurse, one dental hygienist, two receptionists and the registered manager who is also the practice manager. The practice has two treatment rooms.
The practice is owned by an individual who is the principal dentist there. They have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated regulations about how the practice is run.
During the inspection we spoke with one dental nurse and 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 Thursday 8am to 5.30pm
- Friday 8am to 3pm
The practice open days are rotated over a two week period with the practice open on week one Monday, Thursday, Friday and the second week Tuesday, Wednesday, Friday.
Our key findings were:
- Effective governance systems and processes had been established
- Recruitment procedures had been brought in line with current legislation
- Staff were supported and supervised throughout their training by a qualified member of staff
- Evidence was available that identified that staff were sufficiently covered for Hepatitis B
- Staff had completed Immediate life support training
- Staff were aware of and had a good understanding of Gillick competency
- Staff were aware of and had a good understanding of the Duty of Candour
- All staff had completed GDPR training.