People using the service told us that they were satisfied with the treatment they had received and way it was provided. "I would recommend the dentist" and "I had a very nice visit. The procedure for consultation and treatment was fully explained including the fees charged. People were also told about any risks that might arise from treatments chosen. They felt treated with dignity, respect and had received consultations and treatment in a way that maintained their privacy.

They did not comment on the safeguarding or infection control systems of the practice. They told us they thought the practice was kept clean, tidy and they felt safe using the service. They also said staff were professional, polite and friendly.

We undertook a follow up focused inspection of Wandsworth Town Dental Practice on 25 February 2019. This inspection was carried out to review in detail the actions taken by the registered provider to improve the quality of care and to confirm that the practice was now meeting legal requirements.

The inspection was led by a Care Quality Commission (CQC) inspector who was supported by a specialist dental adviser.

At the previous comprehensive inspection that took place on th 30 July 2018 and 8 August 2018 we found the registered provider was providing effective, caring and responsive care in accordance with relevant regulations. We judged the practice was not providing safe and well-led care in accordance with the relevant regulations of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014. You can read our report of that inspection by selecting the 'all reports' link for Wandsworth Town Dental Practice on our website www.cqc.org.uk.

As part of this inspection we asked:

• Is it safe?

• Is it well-led?

Our findings were:

Are services safe?

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

The provider had made improvements in relation to the regulatory breaches we found at our inspection on 30 July 2018 and 8 August 2018.

Are services well-led?

We found this practice was providing well-led care in accordance with the relevant regulations.

The provider had made improvements in relation to the regulatory breaches we found at our inspection on 30 July 2018 and 8 August 2018.

Background

Wandsworth Town Dental Practice is in the London Borough of Wandsworth and provides NHS and private

treatment.

There is level access for people who use wheelchairs and those with pushchairs.

The dental team includes seven dentists, seven dental nurses and two trainee dental nurses. The dental nurses

also provided reception duties. The practice has four treatment rooms.

The practice is owned by a company and as a condition of registration must have a person registered with the

Care Quality Commission as the registered manager. Registered managers have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated regulations about how the practice is run. The registered manager at Wandsworth Town Dental Practice was the principal dentist.

The practice is open:

Monday-Friday 9am – 5.30pm

Saturday 9am–4pm

Sunday 11am–3pm

Our key findings were:

• The practice had undertaken essential recruitment checks for staff. This included Hepatitis B vaccination and Disclosure and Barring services checks.

• The practice had safeguarding policies and staff had received safeguarding training.

• The practice had systems and processes to ensure good governance in accordance with the fundamental standards of care, including risk assessments and quality assurance processes.
• The provider had ensured equipment for use in medical emergencies was available in sufficient quantities.
• Staff had awareness of their responsibilities under the Duty of candour to ensure compliance with The Health and Social Care Act 2008 (Regulated Activities) Regulations 2014.

At the previous inspection we had found that this practice was providing effective care in accordance with the relevant regulations but told them there were things they should do. We found that the provider needed some further improvements to address the issues we said they should look at.

We had told them that they should review staff’s knowledge of the Mental Capacity Act. They told us during this follow up inspection on the 25 February 2019 that they would arrange for the issue to be discussed at an up and coming team meeting.

At the previous inspection we had found that this practice was providing responsive care in accordance with the relevant regulations but told them there were things they should do. We found that the provider needed some further improvements to address the issues we said they should look at. We had told them that they should undertake a Disabilities Access Audit. They told us during this follow up inspection on the 25 February 2019 that they would arrange for one to be carried out.

There were areas where the provider could make improvements. They should:

Review its responsibilities to respond to the needs of patients with disability and the requirements of the Equality Act 2010 and ensure a Disability Discrimination Act audit is undertaken for the premises.

• Review staff awareness of the requirements of the Mental Capacity Act (MCA) 2005 and ensure all staff are aware of their responsibilities under the Act as it relates to their role.