Reviewing a further sample of 52 CQC dental inspection reports published in December, highlighted a number of compliance breaches which can easily be avoided.
Of the 52 practices sampled, 5 practices were issued with breach notifications. Clearly the vast majority of practices are still getting things right, which is great news.
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 from these very recent inspections, which might just keep another practice out of trouble.
- Always have evidence of checking and taking action on MHRA/CAS safety alerts
- Have a system in place re RIDDOR reporting requirements for significant incidents
- Policies and procedures should also be personalised and made relevant to your practice – don’t just leave them as generic operating procedures
- Check your training records are complete and up to date, particularly individual training records for Infection Control, Information Governance, Complaints and Health & Safety
- Details of local, external contacts for adult/child safeguarding concerns are up to date and readily available
- Medical Emergency procedures should be tested and rehearsed
- At least two CPR trained members of staff should be on-site whenever patients are in practice
- Don’t forget to record and keep Hep B records up to date for all clinical staff
- Please allow trainee nurse assessors access to surgery, with patient agreement, to enable them to supervise your trainee staff
- Audits are regularly seen without essential evidence of learning and action points.
- Remember that carpets should never be seen in any clinical/patient areas
- When testing your basin water temperatures, don’t ignore when minimum temperatures are not being reached
- Unclear or incomplete patient records continue to feature including the need to show evidence of health advice/best practice and compliance with NICE/FGDP/DH guidelines
- Evidence compliance with a preventative approach to dental care in line with DH publication “Delivering Better Oral Health” in patient records
- When radiography equipment is relocated or newly installed, local rules must be updated and the equipment tested by your RPA
- Mental Capacity Act 2005 and Gillick competency requirements are almost always tested – make sure procedures are in place and well understood by the team
- Check you have a detailed practice information leaflet, which is up to date and in line with NHS England/CQC requirements
- Opening hours of the practice should always be on display to patients
- CCTV is becoming more common – remember that there must be a policy in place, information notices provided for patients and use of CCTV must be registered with the Information Commissioners Office (ICO)
As 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! This continues to catch practices out, leading to frustration and avoidable stress for all!
Findings from previous inspection reviews can be found here: CQC Hotspots
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 or check our on-line calendar to book a complimentary chat.