Source · CQC inspection
Bridgwater Dental Access Centre
Provider Somerset NHS Foundation Trust
Type NHS Healthcare Organisation
Region South West
Overall rating: Not Yet Rated View full CQC report
Domain ratings
Safe
Not Yet Rated
Effective
Not Yet Rated
Caring
Not Yet Rated
Responsive
Not Yet Rated
Well-led
Not Yet Rated
Earlier inspection findings
Must-do actions (6)
Must-do action 1 of 6
Must do
Safe
Have in place records of what is expected of cleaners and records of schedules completed by the cleaners.
Must-do action 2 of 6
Must do
Safe
Complete recommended actions following the legionella risk assessment to reduce risk to patients and staff using the access centre.
Must-do action 3 of 6
Must do
Safe
Ensure immunisation status is recorded for all staff who have received hepatitis B immunisation as directed by the Code of Practice on the prevention and control of infections, appendix D criterion 9(f).
Must-do action 4 of 6
Must do
Safe
Ensure they take all the required emergency kit with them when undertaking domiciliary visits.
Must-do action 5 of 6
Must do
Responsive
Ensure patients are not kept waiting longer than the standard wait time for referrals.
Must-do action 6 of 6
Must do
Safe
Ensure staff were recruited safely according to the Trusts recruitment policy and Schedule 3 of the Health and Social Care Act 2008. Particularly ensuring references and gaps in employment were evidenced during the recruitment process.
Should-do actions (5)
Should-do action 1 of 5
Should do
Well-led
The whistleblowing policy did not include information about who staff could raise concerns with externally such as the Care Quality Commission (CQC).
Should-do action 2 of 5
Should do
Safe
Have in place all oropharyngeal airways including size 0.
Should-do action 3 of 5
Should do
Well-led
Review the effectiveness of the system to ensure accurate records of annual servicing of compressors for all sites are maintained and available to the centre manager.
Should-do action 4 of 5
Should do
Well-led
Individualise patient feedback to enable a clear view of patient satisfaction at individual access centres.
Should-do action 5 of 5
Should do
Effective
Review whether training in learning disabilities is relevant and necessary due to high number of patients with a learning disability attending the practice.