Wynyard Dental

Updated 3 April 2017

We undertook an announced focused inspection of Wynyard Dental on 07 March 2017. This inspection was carried out to check that improvements to meet legal requirements planned by the practice after our comprehensive inspection on 08 November 2016 had been made. We inspected the practice against one of the five questions we ask about services: is the service well-led? This is because the service was not meeting some legal requirements.

The inspection was carried out by a CQC inspector.

During the inspection, we spoke with the one of the principal dentists, a dental nurse and the management lead /receptionist.

We reviewed policies, protocols, certificates and other documents to consolidate our findings.

Updated 3 April 2017

We carried out a follow-up inspection at Wynyard Dental Practice on the 7 March 2017.

We had previously undertaken an announced comprehensive inspection of this service on the 8 November 2016 where breaches of legal requirements were found.

After the comprehensive inspection, the practice wrote to us to say what they would do to meet the legal requirements in relation to each of the breaches. This report only covers our findings in relation to those requirements.

We reviewed the practice against one of the five questions we ask about services: is the service well-led? You can read the report from our last comprehensive inspection, by selecting the 'all reports' link for Wynyard Dental on our website at www.cqc.org.uk.

We revisited the Wynyard Dental as part of this review and checked whether they had followed their action plan and to confirm that they now met the legal requirements.

Our findings were:

Are services well-led?

We found that this practice was providing well-led care in accordance with the relevant regulations.

Background

Wynyard Dental is a family-run dental practice which provides private treatment to patients of all ages. The practice is situated in a central complex within Wynyard Village, Teesside. There are two spacious treatment rooms each with their own decontamination area for sterilising dental instruments, two waiting areas (one with a dedicated children’s’ area) and a reception. There are ample car parking spaces in front of the practice. Access for wheelchair users or pushchairs is possible via the step-free ground floor entrance.

The practice is open Monday to Friday 0900 -1730 and Saturday 0900-1300.

The dental team is comprised of two principal dentists, an associate dentist, two qualified dental nurses and two receptionists. The practice is currently recruiting a third qualified dental nurse.

The provider is registered with the Care Quality Commission (CQC) as a partnership. A condition of their registration states the regulated activity procedures are to be managed by an individual who is registered as a manager. An application was underway for a registered manager to be appointed. 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:

• Various audits (including infection prevention and control and radiography) and risk assessments (including fire, Legionella and health and safety) had been carried out and action plans were implemented.
• Robust recruitment procedures were now in place.
• Documentation was retained for the checks of the sterilisation equipment.
• Practice policies were specific to the practice, dated and reviewed. All staff had signed to indicate they had read and understood the policies.
• Staff training, learning and development was appropriately reviewed. All staff had undergone training to an appropriate level in the safeguarding of adults and vulnerable children.
• The practice had re-registered with the Information Commissioner’s Office (ICO).
• Arrangements for receiving and responding to patient safety alerts, recalls and rapid response reports were in place.

• The practice had adequate procedures for undertaking patient and staff satisfaction surveys to help improve the quality of service.