A Spalding dentist faces enforcement action after an inspection found failures in a number of areas.

Crescent Dental Surgery, headed by Roopesh Singh, is a private practice that the Quality of Care Commission imposes tough measures for safety, efficiency and leadership.

The report, which was recently released, says the inspection “found that the practice was not providing safe care in accordance with current regulations.”

The inspection found the practice to be visibly clean, but infection control procedures were not “being applied effectively or consistently.”

“Staff did not have access to the correct levels of personal protective equipment.

“Records showed that all equipment used by staff to clean and sterilize instruments was not validated, maintained and used according to manufacturers’ guidelines,” the report says.

He added that measures to ensure that instruments were decontaminated and sterilized appropriately were not in place.

“The supplier was failing to assess and mitigate the risks associated with the Covid-19 infection,” the report adds.

“We found that the extinguishers and fire detection systems were not adequate to ensure the safety of the department. The exits were not clearly identified or lit and the fire evacuation drills were not carried out, ”said the inspector, who added that the fire services had been informed and that he had asked the dentist to make improvements.

“The service provider had not performed a radiographic audit since 2015”, which does not comply with the legislation in force.

There were also problems as clinical staff had not been trained to recognize and respond to the early diagnosis and management of sepsis.

“Essential emergency equipment was missing from the emergency medication kit, including all electrodes for use with the automated external defibrillator,” the report said.

The dentist subsequently replaced the equipment, the report said, and booked staff for training in medical emergencies.

Drug stock control was “not adequate” and “we found that prescription forms were not stored securely.”

“The dentist was not aware of the current guidelines for prescribing drugs.”

The commission also said services were not efficient and staff training records were not kept.

But the provider had a “culture of caring” and the staff felt respected, supported and valued, according to the report.

The commission has issued enforcement actions to meet legal requirements and there are also areas highlighted for continuous improvement.

The dentist must inform the board of the measures that will be taken to meet the requirements described.

The practice manager told The Voice on Tuesday that Mr Singh was unwilling to comment on the report.