Reading through a further sample of 12 CQC dental inspections undertaken in various parts of England during August, highlighted a number of breaches which can easily be avoided.
Of the 12 practices reviewed, two practices were issued with various breach notifications and these were again typically found across the “Safe” and “Well Led” sections.
The majority of practices were again found to be fully satisfactory, which is great, but in the spirit of continuous improvement and to try and help 100% of practices achieve a clean pass, here are some of the key-findings which might just keep another practice out of trouble.
Always remember that if something is not recorded or evidenced, in the eyes of the CQC and other external bodies such as the NHS, it didn’t happen, even though you may know full well that it did!
- Robust policies and procedures covering all aspects of running the practice in place and regularly reviewed with staff
- Evidence of regular Medical Emergency training for all staff
- Training records maintained to show what has been delivered and when.
- Risk Assessments including actions taken to reduce identified risks
- Pre-Employment checks prior to recruitment including DBS
- Annual performance reviews for the team including individual personal development plans
- All audits must show evidence of learning and action points
- IRMER regulations for x-ray equipment including annual checks and RPA appointed
- Significant Incident records including follow-up actions and discussions
- Awareness of Mental Capacity Act is not sufficient, team must understand what it means and how concerns would be identified/actioned
- Regular checks of water temperatures including records as part of Legionella management
- Patient discussions and records to evidence understanding and avoidance of jargon
- Equipment servicing as per supplier recommendations with evidence
- Ensure patient/medical equipment safety alerts are tracked and actioned via Central Alerting System at https://www.cas.dh.gov.uk
- Stock control for materials and medicines to ensure rotation and removal of items before expiry
- Effective waste management/assessment of risk including sharps and toxic waste
- Regular (annual) checks of clinician professional registration with the GDC
There is plenty of help out there to plug any management gaps including Your Dental Manager, so please do get in touch if you have any concerns or want to further improve the overall management/efficiency of your practice: firstname.lastname@example.org