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CQC inspections: What have we learnt from it?

CQC inspections: What have we learnt from it? . Claire McAllister, Clinical and Contracts Manager, Rodericks Limited . Let’s meet Claire... . Dentistry background 25 years Started work as a trainee dental nurse at the age of 16 Nurse trainer Head nurse Practice Manager Area Manager

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CQC inspections: What have we learnt from it?

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  1. CQC inspections: What have we learnt from it? Claire McAllister, Clinical and Contracts Manager, Rodericks Limited

  2. Let’s meet Claire... • Dentistry background • 25 years • Started work as a trainee dental nurse at the age of 16 • Nurse trainer • Head nurse • Practice Manager • Area Manager • What is Claire’s role now?

  3. Rodericks Limited • Rodericks is a dental corporate • 52 dental practices over a wide geographical area • All of these are NHS practices WHY ARE WE HERE TODAY? - Because Rodericks has had over 25 CQC inspections!

  4. Types of CQC inspections we have had • Rodericks has now had 3 different types of inspections • Pre compliance • Pre opening inspection • 30 compliance inspections • How has Claire been involved?

  5. Pre compliance visit • Why did this come about? • What happened? • Staff training records • Cross infection procedures for outcome 8

  6. What was learnt from this visit? • Inspector was very impressed with our complaints process/cross-infection process • Reinforced our understanding of compliance • Were we interpreting the guidance correctly?

  7. Pre-opening inspection • Documentation inspection • Walked around the building – looked at disabled access/private area/ decontamination rooms/surgeries /recruitment process • Asked us to explain how we thought we were compliant?

  8. What was learnt from this visit? • Interpreting the guidance correctly? • Assessor’s opinion? • Evidence demonstration? • Did they explain a compliance visit and how this would work? • What did we need to do? Staff training? • CQC Outcomes /Mental Capacity Act / Child Protection / Equality & Diversity / Fire safety

  9. Compliance Visits • A lot of the visit was based around outcomes 1, 2 4, 7, 8, 16 and 17 • Did they give you any details? • Given 24 – 48 hours notice • Longest visit was 7 hours long! • Shortest visit was 2 hours (by same person who had visited 3 of our sites before) • Happy to work around the dentist diary

  10. Visit overview • Observed reception team / spoke to patients in the waiting room • Walk around with the practice manager • Looked at paperwork • Selected patient to interview • Interviewed dentist in surgery • Interviewed Dental nurse in surgery • Observed them in decontamination room • Looked for items in the action plan • Gave feedback

  11. So, who is the inspector? Removing the mystery from the mythical!

  12. Background of assessors • Ex-military policemen • Ex-policemen • Ex-care home mangers • Dentists • Complaints ombudsman • Each person has a different approach

  13. To illustrate? • Dentists? What did they look at? • Care home managers? What did they look at?

  14. Some opening introductions? • Some shocking opening introductions! • Conflicting advice and views • For instance? • CRB evidence / pre employment/ enhanced / standard / length held etc?

  15. What have we learnt? • How to plan for future visits • Have certain paperwork ready • Prep staff • Example: Member staff said they’d had no training!

  16. What have we implemented? • Carrying out procedures, but could not prove this! • Staff training • Signed log sheets

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