Updated 19 October 2020
We undertook a desk-based review of Bailie and Associates on 16 September 2020. This review was carried out to assess the actions taken by the registered provider to improve the quality of care and to confirm that the practice was now meeting legal requirements following a comprehensive inspection carried out on 3 December 2019.
The review was carried out by a CQC inspector who had access to a specialist advisor.
We undertook a comprehensive inspection of Bailie & Associates on 3 December 2020 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 Regulation 12 Safe Care and Treatment, and Regulation 17 Good Governance 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 Bailie & Associates Dental Practice – Peckham on our website .
As part of this inspection we asked:
- Is it safe?
- 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 areas where improvement was required.
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 on 3 December 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 3 December 2019.
Background
Bailie & Associates Dental Practice – Peckham is located in the London Borough of Southwark and provides NHS and private treatment for adults and children.
The dental team includes the principal dentist, three associate dentists, one dental nurse and two trainee dental nurses. The clinical team are supported by a practice manager and a receptionist. The practice has three treatment rooms.
The practice is owned by the principal dentist. 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.
The practice is open between:
9.00am and 5.30pm - Monday to Thursday
9.00am and 12.30pm on Fridays
Our key findings were :
- The provider had implemented improvements as identified in the electrical installation certificate , fire risk assessment and the Legionella risk assessment
- The provider had improved the practice infection control procedures so that they reflected published guidance.
- There were arrangements to monitor staff performance, training and development needs and information in relation to suitable checks were available.
- There were effective systems for assessing and monitoring the practice premises and equipment and taking necessary action to ensure that these were well maintained.
- There were effective systems to ensure that audits were carried out, reviewed and acted upon to monitor and improve the safety and quality of the service.
- There were effective arrangements for assessing and mitigating risks to patients and staff.