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Archived: Orthodontics Exclusively

The provider of this service changed - see new profile

Reports


Inspection carried out on 23 March 2016

During a routine inspection

We carried out an announced comprehensive inspection on 23 March 2016 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 providing well-led care in accordance with the relevant regulations.

Background

Orthodontics Exclusively is an orthodontic dental practice which provides treatment under the NHS or privately. The practice is located in the Acocks Green area of Birmingham and is situated on the ground and first floor of a converted building. The practice has a reception and separate waiting room, two treatment rooms, an oral health education room, X-ray room and a decontamination room. The practice’s opening hours are: Monday 9am to 6pm, Tuesday and Thursday 9am to 5pm, Wednesday 9am to 1pm and Friday and Saturday by appointment only. The practice closes for lunch from 1 pm to 2 pm.

Orthodontics Exclusively has two part time orthodontists; one orthodontic therapist, a head dental nurse, two trainee dental nurses and a practice manager. The principal orthodontist is registered with the Care Quality Commission (CQC) as an individual. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the practice is run.

Before the inspection we sent Care Quality Commission comments cards to the practice for patients to complete to tell us about their experience of the practice and during the inspection we spoke with patients. We received feedback from 29 patients who provided an overwhelmingly positive view of the service the practice provides. All of the patients commented that the quality of care was very good and that staff were helpful and informative.

Our key findings were:

  • There were systems in place to record accidents, significant events and complaints, and learning points were identified and were shared with staff.
  • There were sufficient numbers of suitably qualified staff to meet the needs of patients.
  • Patients spoke positively about their experiences of the orthodontic services they received.
  • Patients said they were treated with dignity and respect and their confidentiality was maintained.
  • Patients were involved in discussions about their care and treatment.
  • The practice followed the relevant guidance from the Department of Health's: ‘Health Technical Memorandum 01-05 (HTM 01-05) for infection control.
  • The provider had emergency medicines in line with the British National Formulary (BNF) guidance for medical emergencies in dental practice.
  • Staff had been trained to deal with medical emergencies.
  • There were training opportunities for staff which allowed professional development within their role.
  • There was appropriate equipment for staff to undertake their duties, and equipment was well maintained.
  • Governance arrangements were in place for the smooth running of the practice.

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

  • Review the practice’s whistle blowing policy to ensure staff are provided with information about how to raise concerns both internally and with identified external agencies.

Inspection carried out on 20 March 2014

During an inspection to make sure that the improvements required had been made

We previously inspected Orthodontics Exclusively on 19 and 22 April 2013. During this inspection we found that appropriate guidance was not always followed to ensure that people were protected from the potential risk of infection.

At this inspection we spoke with the provider, three staff members and five patients. All the patients were positive about how treatment was being delivered and their experience. One patient we spoke with said; �Really really good.�

We looked at the arrangements that were in place for decontamination of dirty dental instruments. We saw that decontamination of instruments were now being carried out in a surgery whilst a new decontamination room was being developed.

Inspection carried out on 19, 22 April 2013

During a routine inspection

During this inspection we spoke with the provider and staff at the practice. We also conducted telephone interviews with eight people who used the service. This included adults, young people and parents.

We found that people had the information they needed to help them make choices about their treatment. One person told us, "Everything was fully explained and the choices were made clear to me".

People told us that they had no concerns about the care and treatment that they received. One person said, "I am very happy with the treatment so far".

We found that people received care and treatment in a clean environment. However appropriate guidance was not always followed to ensure that people were protected from the potential risk of infection.

People that we spoke with were complimentary about the staff. We found that staff were trained and supported to deliver treatment to an appropriate standard.

We found that the provider had systems in place to monitor the quality of service that people received. People that we spoke with confirmed that the treatment they received was of good quality.