Updated 18 April 2018
We carried out a focused inspection of Highview Dental Practice on 5 March 2018 to follow up concerns we originally identified during a comprehensive inspection at this practice on 15 February 2017 under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions.
At a comprehensive inspection we always ask the following five questions to get to the heart of patients’ experiences of care and treatment:
- Is it safe?
- Is it effective?
- Is it caring?
- Is it responsive to people’s needs?
- Is it well-led?
When one or more of the five questions is 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.
At the previous comprehensive inspection we found the registered provider was providing safe, effective, caring and responsive care in accordance with relevant regulations. We judged the practice was not providing well-led care in accordance with 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 Highview Dental Practice on our website www.cqc.org.uk.
Our findings were:
Are services well-led?
We found this practice was providing well-led care in accordance with the relevant regulations.
The provider had made adequate improvements to put right the shortfalls and deal with the regulatory breach we found at our inspection on 15 February 2017. The provider must ensure that the newly implemented improvements are embedded and sustained in the long-term in the practice.
There were areas where the provider could make improvements and should
Review the practice’s responsibilities to the needs of people with a disability and the requirements of the Equality Act 2010 and ensure an Equality Act audit is undertaken for the premises.
Review the staff supervision protocols and ensure an effective process is established for the on-going appraisal of all staff.
Review the practice's current audit protocols to ensure audits of key aspects of service delivery are undertaken at regular intervals and where applicable learning points are documented and shared with all relevant staff.