Background to this inspection
Updated
29 November 2016
We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection was planned to check whether the practice was meeting the legal requirements and regulations associated with the Health and Social Care Act 2008.
We undertook an announced focused inspection of Dorset House Dental on 13 October 2016. This inspection was carried out to check that improvements to meet legal requirements planned by the practice after our comprehensive inspection on 3 September 2015 had been made. We inspected the practice against two of the five questions we ask about services: is the service safe and well-led. This is because the service was not meeting some legal requirements.
The inspection was carried out by a CQC inspector with a dental specialist advisor.
Updated
29 November 2016
We carried out an announced comprehensive inspection of this practice on 3 September 2015. Breaches of legal requirements were found. After the comprehensive inspection, the practice wrote to us to say what they would do to meet legal requirements in relation to safe care and treatment and good governance.
We undertook this focused inspection to check that they had followed their plan and to confirm that they now met legal requirements. 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 Dorset House Dental on our website at www.cqc.org.uk
Our findings were:
Are services safe?
We found that this practice was providing safe care in accordance with the relevant regulations.
Are services well-led?
We found that this practice was providing well-led care in accordance with the relevant regulations.
Background
Dorset House dental is a general dental surgery situated in a converted townhouse near the centre of Rugby, Warwickshire. They provide general dental treatments for adults and children funded by the NHS or privately.
The practice has six dental treatment rooms, as well as a dedicated decontamination room for cleaning, inspecting and sterilising dental equipment ready for use again.
Since our original inspection the practice had appointed a new practice manager who had been in post for approximately six months at the time of our follow up visit.
The one of the principal dentists is the registered manager. A registered manager is a person who is registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons’. Registered persons 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:
- The practice had implemented a significant incidents policy and protocol to ensure that incidents are investigated, reported and learning outcomes fed back to staff.
- The practice was not meeting the standards set out in national guidance in the flooring and general upkeep of the building, although two treatment rooms were decommissioned awaiting refurbishment following our inspection.
- New policies had been implemented in infection control and staff recruitment to ensure they were specific and relevant.
- The practice was receiving national alerts, and an effective system was in place to ensure that relevant alerts were actioned and the information passed to the rest of the team.
- The medical emergencies medicines and equipment met national guidance.
There were areas where the provider could make improvements and should:
- Review the practice premises and ensure that it meets the standards set out in ‘Health Technical Memorandum 01-05 (HTM 01-05): Decontamination in primary care dental practices.’ published by the Department of Health.