Updated 22 August 2019
We undertook a focused inspection of You Smile Dental Care on 11 July 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 an inspection manager.
We undertook a focused inspection of You Smile Dental Care on 13 May 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 and well led care and was in breach of regulation 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 You Smile Dental Care on our website www.cqc.org.uk.
As part of this inspection we asked:
• Is it safe?
• 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 breaches we found at our inspection on13 May 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 breaches we found at our inspection on 13 May 2019.
Background
You Smile Dental Care is in Market Rasen, a town within the West Lindsey district of Lincolnshire. It provides private dental treatment to adults and children.
Treatments offered include general dentistry, orthodontics and dental implants.
There is level access into the practice and the treatment rooms. There is no car parking available on site although there is public car parking within short distance of the practice.
The dental team includes the principal dentist, a visiting implantologist, a qualified dentist who also undertakes the role of a hygienist and two dental nurses. The practice has two treatment rooms.
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 one 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 to Thursday from 8.30am to 7pm, Friday from 8.30am to 5pm and on some Saturdays with appointment only, from 9am to 4pm.
Our key findings were:
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Emergency medicines that had expired, had been replaced.
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Single use medical items were being used in accordance with manufacturers’ instruction.
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The provider had made policies available and staff were made aware of policy provision.
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The provider was reviewing their arrangements for significant event and untoward incident reporting to strengthen existing process.
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Computerised monitoring arrangements had been implemented which included overview of staff training requirements.
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A system was being introduced for staff appraisal and we saw some evidence of staff reviews that had taken place.
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We saw documentation relating to audit activity undertaken.
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Checks such as those for fire safety were now in place.
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We saw that a system for reviewing patient safety alerts had been implemented.
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Arrangements for lone working had been reviewed.