We carried out an announced comprehensive inspection of this service on 15 June 2015 as part of our regulatory functions, where a breach of legal requirements was found. After the comprehensive inspection, the practice wrote to us to say what they would do to meet the legal requirements in relation to the breach.

We followed up on our inspection of 15 June 2015 to check that they had followed their plan

and to confirm that they now met the legal requirements. This report only covers our findings in relation to those requirements. We have not revisited Crosbie Care Limited as part of this review because Crosbie Care Limited was able to demonstrate that they were meeting the standards without the need for a visit.

You can read the report from our last comprehensive inspection, by selecting the 'all reports' link for Crosbie Care Limited on our website at www.cqc.org.uk.

We carried out an announced comprehensive inspection on 15 June 2015 to ask the practice the following key questions; Are services safe, effective, caring, responsive and well-led?

Our findings were:

Are services safe?

We found that this practice was providing safe care in accordance with the relevant regulations.

Are services effective?

We found that this practice was providing effective care in accordance with the relevant regulations.

Are services caring?

We found that this practice was providing caring services in accordance with the relevant regulations.

Are services responsive?

We found that this practice was providing responsive care in accordance with the relevant regulations.

Are services well-led?

We found that this practice was not providing well-led care in accordance with the relevant regulations.

Crosbie Care Limited is a general dental practice in central London offering only private dental treatment. The practice treats adults and children.

The premises consist of a communal waiting room (shared by other providers in the same premises) which is next to the treatment room.

The staff at the practice consists of the provider (the principal dentist) and a dental nurse.

On the day of our inspection, no patients were scheduled to be seen. We reviewed two comment cards that had been completed by patients. These reflected positive experiences of the care and treatment they had received. Patients felt they were listened to, treated with dignity and respect and cared for in a safe and hygienic environment.

Our key findings were:

• The practice provided evidence based dental care which was focussed on the needs of the patients.

• Patients told us through comment cards they were treated with kindness and respect by staff.

• Patients were able to make routine and emergency appointments to support their care and treatment needs. There were clear instructions for patients regarding out of hours care.

• The practice did not have systems in place to ensure the safe maintenance and operation of the X-ray equipment or dental air compressor. However, the provider took action to rectify this immediately after our inspection.

• The practice did not have effective systems in place to mitigate fire safety risks. However, the provider took action to address this immediately after our inspection.

We identified regulations that were not being met and the provider must:

• Establish an effective system to assess, monitor and mitigate the risks relating to the health, safety and welfare of patients, staff and visitors.

You can see full details of the regulations not being met at the end of this report

There were areas where the provider could make improvements and should:

• Review the availability of equipment to manage medical emergencies giving due regard to guidelines issued by the Resuscitation Council (UK), and the General Dental Council (GDC) standards for the dental team.
• Ensure a full audit process where actions needed are identified and monitored for completion