Updated 24 March 2020
We undertook a focused inspection of Derwent Valley Dental on 5 March 2020. 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 remotely by a specialist dental adviser.
We undertook a comprehensive inspection of Derwent Valley Dental on 19 November 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 safe or well-led care and was in breach of regulations 12 and 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 Derwent Valley Dental on our website www.cqc.org.uk.
As part of this inspection we asked:
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Is it safe?
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Is it well-led?
Our findings were:
Are services safe?
We found this practice was providing safe care in accordance with the relevant regulations.
The provider had made improvements in relation to the regulatory breach we found at our inspection on 19 November 2019.
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 19 November 2019.
Background
Derwent Velley Dental is in the Chaddesden area of Derby and provides NHS dental treatment to adults and children.
The dental team includes one dentist, two dental nurses and four receptionists. The practice has one ground floor treatment room. There is level access into the practice and treatment room, which is of benefit to patients in wheelchairs, with restricted mobility and parents with pushchairs. On-site car parking is available.
The practice is owned by an individual who is the principal dentist there. They have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated regulations about how the practice is run.
During the inspection we spoke with the dentist and one dental nurse. We looked at practice policies and procedures and other records about how the service is managed.
The practice is open:
Monday: from 8am to 6pm, Tuesday: from 8am to 8pm, Wednesday: from 8am to 12 noon, Thursday: 8am to 6pm and Friday: from 8.30 to 5pm. The practice closes for lunch for one hour each day.
Our key findings were:
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A log had been introduced to track NHS prescriptions within the practice.
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The system for single use items had been reviewed and they were no longer being re-used in the practice.
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The practice had written a risk assessment for endodontic procedures. The risk assessment identified the alternatives being used instead of a dental dam.
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The medical oxygen cylinder had been replaced with a larger version.
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A new infection prevention and control audit had been completed in December 2019. An action plan had been produced following this audit with action points for staff.
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A new stock control system has been developed with checks recorded to monitor use by dates for dental materials.
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The damaged floor plate in the treatment room had been repaired and both the dental chair and the dentist’s stool had been re-upholstered.
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A new system had been introduced to monitor emergency medicines and equipment, with regular checks and records of those checks.