Updated 12 July 2019
We undertook a follow up desk-based inspection of Victoria House Dental Practice on 12 June 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.
We undertook a comprehensive inspection of Victoria House Dental Practice on 8 April 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 Victoria House 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 (requirement notice only). We then inspect again after a reasonable interval, focusing on the area(s) 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 8 April 2019.
Background
Victoria House Dental Practice is in Loughborough, a market town in the East Midlands. It provides NHS and private treatment to adults and children.
There is level access for people who use wheelchairs and those with pushchairs. The practice does not have its own car park facility. Car parking spaces including those for blue badge holders, are available close to the practice in public car parks and on street.
The dental team includes six dentists, five dental nurses, six trainee dental nurses, one decontamination assistant, three dental hygienists, one dental hygiene therapist, six receptionists and two practice managers. The practice has 11 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.
At the time of inspection there was no registered manager in post as required as a condition of registration. A registered manager is legally responsible for the delivery of services for which the practice is registered. The practice manager had submitted an application for the registered manager role.
The practice is open: Monday to Friday from 8.30am to 5.30pm.
Our key findings were:
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The registered provider had improved the quality and safety of the services being provided. This included updates within the treatment rooms and refurbishment in one of the staff areas.
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The practice had reviewed its processes for the recording of patient consent to care and treatment and had plans in place to monitor improvements.