Updated 22 March 2019
We undertook a focused inspection of Graham Wilding Poulton le Fylde on 11 March 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 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 Graham Wilding Poulton le Fylde on 12 September 2018 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 Graham Wildings practice in Poulton le Fylde 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 September 2018.
Background
The Graham Wilding’s practice is in Poulton le Fylde and provides private dental treatments to adults.
There are two members of staff working at the practice: the principal dentist and one dental nurse. The staff team has remained constant for a very long time. The practice has one treatment room on the first floor of the premises.
The practice is owned by an organisation 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 Graham Wilding Poulton le Fylde is the principal dentist.
The practice is open:
Monday, Tuesday and Thursday 8am -4pm.
Our key findings were:
- Overall governance of fire safety procedures and electrical safety had improved.
- The medical emergency medicines and equipment reflected nationally recognised guidance and a robust checking system was now in place.
- Dental care records had improved and had regard for the Faculty of General Dental Practice guidance regarding clinical examinations and record keeping.
- The practice's protocols and procedures for the use of X-ray equipment had been reviewed considering the guidance notes for dental practitioners on the safe use of X-ray equipment.
- Protocols regarding the prescribing of antibiotic medicines had been introduced considering the guidance provided by the faculty of general dental practice.
- Audits of various aspects of the service, such as radiography and patients’ records were completed to improve the quality of service.