Today I have gone through the Practice inspections undertaken in the UK by the CQC in November & December 2019.
Out of the 84 inspections performed, 13 practices required improvements on their WELL-LED aspects, 7 practices required improvement on their SAFE aspects, 3 practice required Enforcement action on their WELL-LED aspects & 1 practice required Enforcement action on their EFFECTIVE aspects & 1 Practice required Enforcement action on their SAFE aspects.
Below is a brief summary of the areas on which they were pulled up on..........
* No CCTV protocol in place
* Domiciliary visit protocol not in line with the 2009 British Society for Disability & Oral Health Guidelines
* No system in place to obtain evidence that all staff were up to date with training & CPD
* No system in place to ensure decontamination equipment was correctly validated
* Fire detection system had not been serviced since 2016
* X-ray Equipment had not been regularly serviced
* The sharps Risk Assessment was insufficient
* No evidence to show that agency staff received an induction to ensure that they were familiar with practice protocols
* Prescription pads were not stored securely
* Some Single use items were being re-used
* Rubber Dam was not being used during RCT Procedures
* The Oxygen cylinder was at less than 100% capacity, which means there could be an inadequate amount of oxygen in the practice in the event of a medical emergency
* The last Infection control audit had scored 98% but it failed to identify issues the inspector found during the inspection
* No effective system in place for stock control to ensure that medicines & materials were within their use by date
* Infection Control Audits were being done yearly not 6 monthly
* Ineffective systems in place to asses & manage risk of Legionella. There was no Risk Assessment or effective water management system
*Ineffective system to log & monitor patients referred to other specialist professionals
* Fire fighting equipment was old & had not been tested or validated. There was no system in place to regularly test the fire alarms & emergency lighting
* Arrangements had not been made to address the required improvements identified in the latest electrical survey, Fire RA & Legionella RA
* Policies & Procedures had not be reviewed since 2013
* Fridge temperature was not recorded & Dental medicines/materials were being stored in the fridge with food
* Emergency medicines expiry dates were not being recorded & medicines used to treat seizures was missing from the emergency drugs kit
* Staff did not know what Significant Events were & there was no system in place to record clinical incidents
* A member of staff was working without chairside support
* Fire exits blocked by boxes & bags
* Staff had not received Safe Guarding training. Safeguarding policy had not been updated since 2011
* No staff files found on site
* Staff files did not have DBS checks or Proof of ID
* No Staff had up to date Medical Indemnity
* Clinical waste was not being disposed of in compliance with guidelines. External clinical waste bins were not secured
* Staff had not completed Medical Emergency training
* Interview notes missing from staff records of two newly recruited staff members
* Not all recommended emergency equipment available
* No Gas safety certificate found
* No evidence of BLS or ILS training for dentist or nurse
* The Dentist was not aware of the need to have appointed a Laser Protection Advisor
* The Dentist was not aware of the requirements to report incidents to RIDDOR ... See more
