20/06/2023
During an inspection looking at part of the service
We undertook a follow up focused inspection of Mydentist, Broad Street Plaza, Halifax on 20 June 2023. This inspection was carried out to review 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 advisor.
We had previously undertaken a responsive focused inspection of Mydentist, Broad Street Plaza, Halifax on 2 March 2023 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 well-led care and was in breach of regulation 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 Mydentist, Broad Street Plaza, Halifax on our website www.cqc.org.uk.
When 1 or more of the 5 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 improvement was required. In addition to reviewing the improvements made since our last inspection in relation to the practice providing well-led care, we also inspected the practice to ensure they were providing effective, caring and responsive care, which had not been assessed at the previous inspection.
As part of this inspection we asked:
- Is it effective?
- Is it caring?
- Is it responsive to people’s needs?
- Is it well-led?
Our findings were:
Our findings were:
- Clinical staff provided patients’ care and treatment in line with current guidelines.
- Patients were treated with dignity and respect. Staff took care to protect patients’ privacy and personal information.
- Staff provided preventive care and supported patients to ensure better oral health.
- The appointment system worked efficiently to respond to patients’ needs.
- The frequency of appointments was agreed between the dentist and the patient, giving due regard to National Institute of Health and Care Excellence (NICE) guidelines.
- Staff and patients were asked for feedback about the services provided.
- Improvements were needed to ensure complaints were dealt with positively and efficiently.
- The practice had information governance arrangements.
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 2 March 2023.
Background
The provider is part of a dental group, with multiple practices. This report is about Mydentist, Broad Street Plaza, Halifax. The practice is in Halifax in West Yorkshire and provides NHS and private dental care and treatment for adults and children.
There is step free access to the practice for people who use wheelchairs and those with pushchairs. The practice is located close to local transport routes and car parking spaces are available near the practice. The practice has made reasonable adjustments to support patients with access requirements.
The dental team includes 1 specialist, 25 dentists, 17 dental nurses, 2 decontamination nurses, 10 trainee dental nurses, 1 orthodontic therapist, 2 dental therapists, 1 dental hygienist, 2 treatment coordinators, 1 practice manager, 8 receptionists and 2 support staff. The practice has 17 treatment rooms.
During the inspection we spoke with numerous members of the team, the practice manager, the area manager, a regional regulatory officer and the lead regulatory officer who were visiting the practice. We looked at practice policies, procedures and other records to assess how the service is managed.
The practice is open:
Monday to Thursday from 8am to 8pm
Friday from 8am to 6pm
Saturday from 9am to 5pm
Sunday from 10am to 4pm
There were areas where the provider could make improvements. They should:
- Improve the practice's complaint handling procedures and establish an accessible system for identifying, receiving, recording, handling and responding to complaints by service users.
- Implement an effective recruitment procedure to ensure that appropriate checks are completed prior to new staff commencing employment at the practice. In particular in relation to obtaining references.