CQC Hotspots – June 2017

YDMLogoBridging

Reviewing a further sample of 67 CQC dental inspection reports published over recent weeks, highlighted a number of compliance breaches which can easily be avoided, but which are still catching out some practices.

Of the 67 practices sampled, 9 practices were issued with breach notifications. Clearly the majority of practices are still getting things right, which is great news. All notices reviewed this month were again issued for breaches within the “Well Led” standard, with just one other issued in respect of “Safe”.

It is very clear from this, and several previous samples, that the “Well Led” standards are still causing problems for many practices, despite most being fully compliant in the many other aspects of good practice management.

The “Well Led” standard is inspected under the following broad areas:

  • Governance Arrangements (management structure and responsibilities/delegation)
  • Leadership, Openness and Transparency
  • Learning & Development/Continuous Improvement
  • Seek and Act on Feedback from staff and the public/patients

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 and recommendations from these very recent inspections, which might just keep another practice out of trouble.

Interesting to note that several of the issues picked up by inspectors have been flagged up in previous bulletins and are all easily resolved once identified.

  • Team members will usually be asked about the “Duty of Candour” which relates to a culture of open and honest communication amongst the team and with patients. This includes apologising to patients when things go wrong and staff feeling comfortable with raising issues and concerns. There should be a “no-blame” culture clearly evident.
  • Inspectors are still picking up evidence of audits being undertaken and filed with no subsequent action planning or attempt to resolve identified issues. Remember that once you have identified a risk, the practice is responsible for pro-actively resolving and/or reducing the risk to an acceptable level. Always document timescales, responsibility and follow-up plans.
  • Policies and procedures not signed, reviewed, circulated or updated. Your policies and procedures are essential working documents, which your team must be familiar with.
  • Infection Control Audits, apparently completed, but not reflecting what is actually happening. Simple box-ticking is ineffective, a waste of everyone’s time and a real risk to the practice and patients. Remember that audits are intended to drive continuous improvement and change.
  • Staff indicating that certain actions have taken place or resolved, but with no documentary evidence. Always make sure your efforts and hard work are recognised by keeping notes and records of what you are doing to improve the practice.
  • Dental records (electronic or written) must be clear, concise and complete, with regular audits for each clinician. Feedback and monitor for improvements if necessary.
  • Practices are still being picked up for inadequate recruitment and staff induction procedures. Follow simple, readily available checklists and procedures to demonstrate that you are doing things correctly and keep records in staff files.
  • Ensure you are receiving, checking and taking action on relevant MHRA/CAS patient safety alerts. Dental practices don’t receive many but there must be a robust system in place to show that you identify and respond to any that are published.
  • Ensure that all sterilisation and clinical equipment is fully maintained in accordance with manufacturer guidelines, externally validated by professionals/suppliers and that recommended routine/daily/weekly checks are undertaken diligently. Even more important is to have evidence and documents to support your checks and maintenance!
    dreamstime_xs_43893109
  • Prescription and controlled medicines/drugs must be locked away and closely monitored.
  • Management of sharp injuries are regularly checked. Ensure procedures are in place and communicated to all the team. Incident/Accident Reporting records must be updated for each event.
  • COSHH records not held or maintained/reviewed. Practices work with a lot of high-risk substances. Essential that you have information sheets and risk summaries for all, including routine cleaning materials. Immediate access to this information will be vital in the event of an accident.
  • Make sure that your clinical team have up to date Hep B immunity records confirmed and available for checking, before working in risk areas.
  • When appointing Fire Marshalls, First Aiders and other “appointed” roles, make sure that they are adequately trained and know that they have been appointed to the role! Inspectors have talked with staff who are unaware of their responsibilities.
  • Information Governance is becoming increasingly important, and high-profile as evidenced by recent events within the NHS. Make sure your team have been trained, with evidence, and are following your reviewed and updated IT security policies.
  • The practice Health & Safety risk assessment must be kept up to date and where new or changed risks are identified, actions put in place to resolve quickly. Don’t delay as once identified, you have a responsibility to correct.
  • Inspectors continue to come across missing or partially-completed, mandatory risk assessments including Sharps, Fire, Clinical Waste, COSHH and Manual Handling.
  • Remember to date and review all of your practice policies and procedures at least annually. If nothing has changed simply re-date to show that you have been there.
  • Don’t forget that associate dentists, therapists and hygienists should also have annual appraisals to review performance and identify training requirements.
  • Appraisals are generally expected to show evidence of performance, learning needs, “general well-being” and future training/development plans. Something is better than nothing, so don’t delay or wait for “perfection”.  So often, inspectors are told that appraisals “are in hand” but not yet done.
  • Collecting and responding to patient feedback and comments is essential. Even more important is to evidence what action has been taken in response to feedback. Inspectors will always ask for specific examples, so be prepared.
  • Take care with “Off the Shelf” or “In a Box” Policy and Procedure packs. They are an essential and valuable source of material for many practices, but each policy/procedure must be reviewed and personalised to the practice and the way you work.
  • Missing or out of date Accessibility Audits, which are required under the Equality Act 2010 along with action plans and explanations for not implementing best practice. One practice was picked up for not having a hearing loop on reception – something which can be reasonably implemented as required under equality legislation.
  • The practice is responsible for overseeing CPD training – make sure you keep records of where everyone is within their CPD training cycle.
  • For multi-site practices, make sure that their is a responsible person at each site – don’t just rely on a “roving” practice or compliance manager.
  • Don’t forget to book regular team meetings into the diary – ideally monthly – and keep records of agendas, minutes and action points from each. It is not enough for staff to say that everything is discussed and resolved informally during the working day. Also remember to keep absent staff (holidays, part-time or sickness) fully up to date with evidence.

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: info@yourdentalmanager.co.uk or check our on-line calendar to book a complimentary chat.

CQC Hotspots – June 2017

CQC Hotspots – March 2017

YDMLogoBridging

Reviewing a further sample of 56 CQC dental inspection reports published over recent weeks, highlighted a number of compliance breaches which can easily be avoided, but which are still catching out some practices.

Of the 56 practices sampled, 5 practices were issued with breach notifications. Clearly the vast majority of practices are still getting things right, which is great news. All notices reviewed this month were issued for breaches within the Well Led standard.

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 and recommendations from these very recent inspections, which might just keep another practice out of trouble.

  • Every month, two or three practices are being picked up on inadequate recruitment and staff induction procedures. Follow simple checklists and procedures to demonstrate that you are doing things correctly and keep records in staff files.
  • Ensure you are receiving, checking and taking action on relevant MHRA/CAS patient safety alerts. Dental practices don’t receive many but there must be a robust system in place to show that you identify and respond to any that are published.
  • Ensure that all sterilisation and clinical equipment is externally validated by professionals/suppliers in addition to the recommended routine/daily/weekly checks you are required to undertake.
    dreamstime_xs_43893109
  • Audits are still seen without essential evidence of learning and action points. Don’t treat audits as a box-ticking exercise, use them to identify and resolve short-comings.
  • X-ray audits for quality and justification should be undertaken for each dentist, not on an individual surgery/equipment basis, as this could leave some dentists unchecked. Records should show all dentists are regularly audited.
  • Prescription and controlled medicines/drugs must be locked away and closely monitored.
  • Management of sharp injuries are regularly checked. Ensure procedures are in place and communicated to all the team. Incident/Accident Reporting records must be updated for each event.
  • The practice Health & Safety risk assessment must be kept up to date and where new or changed risks are identified, actions put in place to resolve quickly. Don’t delay as once identified, you have a responsibility to correct.
  • Check your electrical system inspections and certificates are all in place and up to date including Portable Appliance Testing. Frequency of re-test will be confirmed during each visit/inspection. More details from the Health & Safety Executive here.
  • Inspectors continue to come across missing or partially-completed, mandatory risk assessments including Sharps, Fire, Clinical Waste, COSHH and Manual Handling.
  • Remember to date and review all of your practice policies and procedures at least annually. If nothing has changed simply re-date to show that you have been there.
  • Don’t forget that associate dentists, therapists and hygienists should also have annual appraisals to review performance and identify training requirements.
  • Collecting and responding to patient feedback and comments is essential. Don’t just rely on the NHS Family & Friends test, which is just one specific measure.
  • Make sure that the Registered Manager/CQC lead has adequate time to complete all their duties and responsibilities. Practices have been picked up where the Principal dentist/owner has day to day responsibility but is in surgery for the majority of the week.
  • Take care with “Off the Shelf” or “In a Box” Policy and Procedure packs. They are an essential and valuable source of material for many practices, but each policy/procedure must be reviewed and personalised to the practice and the way you work.
  • Make sure that all the named individuals/leads in your policies/procedures still actually work at the practice. Update and replacement is essential.
  • The practice is responsible for overseeing CPD training – make sure you keep records of where everyone is within their CPD training cycle.
  • Keep on top of your fire log book and mandatory checks of fire equipment including  alarms and emergency lighting.
  • Ensure your fire procedures make provision for evacuation of patients with disabilities.
  • Don’t forget to book regular team meetings into the diary – ideally monthly – and keep records of agendas, minutes and action points from each. It is not enough for staff to say that everything is discussed and resolved informally during the working day.

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: info@yourdentalmanager.co.uk or check our on-line calendar to book a complimentary chat.

CQC Hotspots – March 2017

CQC Hotspots – February 2017

YDMLogoBridging

Reviewing a further sample of 54 CQC dental inspection reports published over recent weeks, highlighted a number of compliance breaches which can easily be avoided, but which are still catching out some practices.

Of the 54 practices sampled, 6 practices were issued with breach notifications. Clearly the vast majority of practices are still getting things right, which is great news. All notices reviewed this month were issued for breaches within the Safe and Well Led standards.

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 and recommendations from these very recent inspections, which might just keep another practice out of trouble.

  • Check to make sure that your recruitment policies and procedures are in place, up to date and followed closely. Particularly with regards to DBS checks, references and evidence of right to work in the UK
  • Ensure you are receiving, checking and taking action on relevant MHRA/CAS patient safety alerts
  • Ensure that patients don’t have access to empty surgeries, which should ideally be locked when not in use, or access restricted
  • Make sure prescription pads are kept securely and not left unattended
  • Always make sure that screens of unattended PCs are locked to avoid unauthorised access and switched off when not required
  • Check your training records are complete and up to date, particularly individual training records for Infection Control, Information Governance, Safeguarding and Health & Safety
    dreamstime_xs_43893109
  • Dental materials must be kept securely and not accessible to patients
  • Don’t forget to record and keep vaccination records, including Hep B records, up to date for all clinical staff
  • X-Ray equipment should always be switched off at the master switch when not in use
  • General cleaning equipment should be stored securely, colour coded and segregated from clinical cleaning
  • Audits are still seen without essential evidence of learning and action points. Don’t treat audits as a box-ticking exercise, use them to identify and resolve short-comings
  • Make sure you implement recommendations from any risk assessments e.g. regular water temperature checks as part of your Legionella report
  • Remember to clearly define and respect “clean” and “dirty” zones within surgeries and decontamination units
  • All Lab work returned to practice should be disinfected before placement and evidenced on Lab records
  • Inspectors continue to come across missing or partially-completed, mandatory risk assessments including Sharps, Fire, Clinical Waste, COSHH and Manual Handling
  • Remember to date and review all of your practice policies and procedures at least annually. If nothing has changed simply re-date to show that you have been there.
  • Make sure that staff and patients have the opportunity to provide feedback and express concerns. Just as importantly, do something about the feedback and show you have listened
  • Check that dental records are being updated contemporaneously – ie during or immediately after the appointment
  • Some practices still don’t have a Radiation Protection Adviser appointed – this is mandatory
  • Make sure quality and safety audits are carried out on x-ray equipment in line with RPA/manufacturer recommendations
  • Back to basics – don’t forget daily testing and recording of your autoclave equipment
  • The practice is responsible for overseeing CPD training – make sure you keep records of where everyone is within their CPD training cycle
  • Keep on top of your fire log book and mandatory checks of fire equipment including  alarms and emergency lighting
  • Don’t forget to book regular team meetings into the diary – ideally monthly – and keep records of agendas, minutes and action points from each

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: info@yourdentalmanager.co.uk or check our on-line calendar to book a complimentary chat.

CQC Hotspots – February 2017

CQC Hotspots – December 2016

YDMLogoBridging

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
    dreamstime_xs_43893109
  • 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: info@yourdentalmanager.co.uk or check our on-line calendar to book a complimentary chat.

CQC Hotspots – December 2016

CQC Hotspots – November 2016

YDMLogoBridging

Reviewing a further sample of 50 CQC dental inspection reports published in November, highlighted a number of breaches which can easily be avoided.

Shortcomings were spread across the “Safe”, “Effective” and “Well Led” criteria. Recruitment procedures continue to feature prominently as does knowledge of the Mental Capacity Act 2005 and it’s impact on valid consent.

Of the 50 practices sampled, just 4 practices were issued with breach notifications. Clearly the vast majority of practices are 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.

  • Regularly share your policies & procedures with the team and ensure everyone knows where they can be found. Don’t leave them “on the shelf”.
  • Keep your policies and procedures up to date with regular reviews and always date the review as evidence. Any changes/updates must be communicated to the team.
  • Inadequate recruitment checks and procedures including right to work, references and qualification checks continue to feature regularly. Make sure your staff files are well organised and compliant. Use checklists to ensure everything is covered and evidenced.
  • Missing or incomplete training records. Particularly individual training records for Infection Control, Information Governance, Complaints and Health & Safety.
  • Make sure the team have a good understanding of safeguarding for children and vulnerable adults, with local referral points identified and easily accessible.
    dreamstime_xs_43893109
  • Check that you have a valid Legionella Risk assessment and that all recommended checks are being actioned.
  • Inadequate Medical Emergency kit/supplies. Make sure you comply with the Resuscitation Council/GDC guidelines.
  • Not seeking or reacting to patient feedback. Make sure you have comment forms and collection box easily accessible to patients. Don’t forget to review and action the contents.
  • Irregular, or no, team meetings.  Make sure you hold meetings more than once or twice a year (preferably monthly), to keep everyone up to date and include lessons learned from audits/patient feedback. Remember to keep meeting minutes to evidence discussions.
  • Audits without essential evidence of learning and action points.
  • Missing or inadequate reporting of significant incident records, including follow-up actions and discussions. Make sure the team are aware of your procedures and learning points.
  • No evidence of tracking, monitoring and reacting to patient safety reports, including CAS and MHRA.
  • The Duty of Candour continues to be checked regularly. Make sure this is understood by all the team and that the procedures/working environment are in place to encourage openness and honesty.
  • Unclear or incomplete patient records have started 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”.
  • Patient records should clearly show treatment options available to patients and evidence of patients making an informed decision.
  • Make sure inexperienced/trainee staff have adequate supervision, mentoring and support.
  • Smaller practices in particular, need to ensure that they have robust referral procedures in place to ensure all patient needs are met and medical concerns escalated.
  • One practice was picked up for not using a rubber dam during root canal treatment
  • Regularly check use-by dates on stock in surgeries, emergency medical supplies and reception consumables to ensure none go out of date.
  • Check that all your dentists are up to date with Radiography training and that you have a Radiation Protection Adviser (RPA) appointed at all times.

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: info@yourdentalmanager.co.uk or check our on-line calendar to book a complimentary chat.

 

CQC Hotspots – November 2016

CQC Hotspots – October 2016

YDMLogoBridging

Reviewing a further sample of 24 CQC dental inspection reports published in October, highlighted a number of breaches which can easily be avoided.

Of the 24 practices sampled, 7 practices were issued with breach notifications which is significantly higher than previous samples undertaken. Shortcomings were again found mainly across the “Well Led” and “Safe” criteria.

We are starting to see more practices picked up for out of date policies, procedures, audits and check-lists. Always important to keep on top of all the good work done in the past and keep everything up to date.

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.

  • Effectiveness of policies and procedures is featuring strongly. Make sure that you don’t rely on “out of the box templates”. These are very useful but must be tailored/personalised to your practice and reflect what actually happens on a day to day basis. Always share with the team and ensure everyone knows what your policies/procedures are. Don’t leave them “in the box”.
  • Policies and procedures are not always kept up to date, regularly reviewed, updated and shared across the team.
  • Out of date risk assessments and critical audits including 6 monthly Infection control and radiography checks.
  • Inadequate recruitment checks and procedures including right to work, references and qualification checks. Make sure your staff files are well organised and compliant.
  • Missing or incomplete staff appraisals, personal development plans and training records.
  • COSHH records and fact-sheets not being completed, or updated, as different products/materials are introduced into the practice.
  • No Business Continuity plan – unexpected events happen and you need to be prepared as a practice.
  • Inadequate or missing safeguarding training for children and vulnerable adults – dreamstime_xs_43893109always make sure the team know how and where to raise concerns.
  • Out of date portable appliance and gas safety checks pose a risk to the practice and your patients.
  • Legionella reports left in the drawer with recommendations not fully implemented, particularly the recording of regular temperature checks for taps.
  • Inadequate Medical Emergency kit/supplies. Make sure you comply with the Resuscitation Council and GDC guidelines.
  • Missing or inadequate sharps/stick injury policies and procedures to follow in the event of an incident.
  • Not seeking or reacting to patient feedback. Make sure you have comment forms and collection box easily accessible to patients. Don’t forget to review and action the contents.
  • Irregular, or no, team meetings.  Make sure you hold meetings more than once or twice a year (preferably monthly), to keep everyone up to date and include lessons learned from audits/patient feedback. Remember to keep meeting minutes to evidence discussions.
  • Missing/out of date audits and checks. A robust diary system should be in place to ensure they are not missed and that the next audit date can be quickly evidenced/identified.
  • Audits without essential evidence of learning and action points.
  • Missing or inadequate reporting of significant incident records, including follow-up actions and discussions. Make sure the team are aware of your procedures.
  • No evidence of tracking, monitoring and reacting to patient safety reports, including CAS and MHRA.
  • The Duty of Candour requirement is often asked of staff during inspections. Make sure that candour is understood by all the team and that the procedures/working environment is in place to encourage.

Once again, 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:info@yourdentalmanager.co.uk

CQC Hotspots – October 2016

CQC Hotspots – September 2016

YDMLogoBridging

Reading through a further sample of 53 CQC dental inspections undertaken in various parts of England during September, highlighted a number of breaches which can easily be avoided.

Of the 53 practices sampled, only one was issued with breach notifications which is a great performance overall. Shortcomings were again found mainly across the “Well Led” sections.

n 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.

Once again, 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!

dreamstime_xs_43893109

  • Management roles and responsibilities not clearly defined leading to confusion for patients and the team. Always make sure you have job profiles in place and that everyone is aware of areas of responsibility/authority.
  • Recruitment checks and procedures including evidence and records.
  • Equipment testing/servicing records. A robust reminder system should be in place to ensure actioned on time. Don’t rely on suppliers contacting you, responsibility remains with the practice.
  • Follow-up actions from patient complaints & feedback. Not enough just to log complaints, lessons must be learned and changes made where necessary. Record action taken and evidence that it is shared with the team e.g. team meeting minutes or notices.
  • Team meetings should be held regularly (more than once or twice a year and usually at least monthly) to keep everyone up to date and include lessons learned from audits/patient feedback. Remember your meeting minutes to evidence content.
  • All audits must show evidence of learning and action points.
  • The team must be encouraged to report any concerns over quality of procedures, equipment, patient care and safety. This is everyone’s responsibility under Health & Safety at Work regulations and guidelines from all regulatory bodies including CQC, NHS and GDC. All discussions must be actioned and followed-up with evidence.
  • Significant Incident records must be maintained and recorded, including follow-up actions and discussions. Make sure the team are aware of your procedures.
  • Audits and checks must be undertaken regularly and consistently. A robust diary system should be in place to ensure they are not missed and that the next audit date can be quickly evidenced/identified.

Robust diary management and task reminders are often the solution to highlighted issues. Think about what would happen if you went off work for a month from tomorrow – who would pick up your responsibilities and how would they know what needed to be done and when?

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:info@yourdentalmanager.co.uk

CQC Hotspots – September 2016