Updated 6 September 2019
We undertook a focused inspection of Elsey and Elsey Dental Practice on 27 August 2019. 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 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 Elsey and Elsey Dental Practice on 11 March 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 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 Elsey and Elsey dental practice on our website www.cqc.org.uk.
As part of this inspection we asked:
• 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 improvement was required.
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 improvements in relation to the regulatory breach we found at our inspection on 11 March 2019.
Background
Elsey and Elsey Dental Practice is in South Cerney and provides private treatment to adults and children and NHS treatment to children only.
There is level access for people who use wheelchairs and those with pushchairs. Car parking spaces are available near the practice.
The dental team includes one dentist, one specialist orthodontist, two orthodontic therapists, one dental hygiene therapist, two dental hygienists, two dental nurses and one receptionist. The practice has three treatment rooms.
The practice is owned by a company and as a condition of registration must have a person registered with the Care Quality Commission as the registered manager. Registered managers have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated regulations about how the practice is run. The registered manager at Elsey and Elsey Dental Practice is the principal dentist.
During the inspection we spoke with one dentist, one dental nurse and one receptionist. We looked at practice policies and procedures and other records about how the service is managed.
The practice is open:
Monday and Thursday 8.30am to 5.30pm
Tuesday and Wednesday 9.00am to 4.00pm
Friday 8.30am to 4.00pm
Our key findings were:
- The practice appeared clean and well maintained.
- The provider had infection control procedures which reflected published guidance.
- Staff knew how to deal with emergencies. All appropriate medicines and life-saving equipment were available.
- The practice had improved existing, and implemented new, systems to help them manage risk to patients and staff.
- The provider had reviewed and improved staff recruitment procedures to ensure all aspects of the practice policy and were met.
- The provider had a culture of continuous improvement.
- Staff felt involved, supported, worked well as a team and had been involved in the recent changes to meet the regulatory breach.
- The provider asked staff and patients for feedback about the services they provided.
- The provider had suitable information governance arrangements.
There were areas where the provider could make improvements. They should:
- Review the practice protocol regarding audits for prescribed antibiotic medicines taking into account the guidance provided by the Faculty of General Dental Practice.