Updated 18 September 2019
We undertook a follow up desk-based inspection of the Orthodontic Centre Hayes on 28 August 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 undertaken by a CQC inspector who had remote access to a specialist advisor.
We undertook a comprehensive inspection of the Orthodontic Centre Hayes on 11 October 2018 under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. We found the registered provider was not providing well led care and was in breach of regulation 17 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 Orthodontic Centre Hayes on our website www.cqc.org.uk.
As part of this inspection we asked:
• Is it well-led?
Our findings were:
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 breach we found at our inspection on 11 October 2018.
Background
Orthodontic Centre Hayes is in London Borough of Hillingdon and provides private orthodontic treatment to adults and children. Orthodontic Centre Hayes has a fee sharing contract with another dental provider for the premises. The orthodontic practice is located on the first floor.
The dental team includes the principal dentist. There were no other staff members employed at the practice. We were told that agency nurses and nurses from the other provider will be used if the provider sees patients.
The practice is owned by an individual who is the principal dentist there. They have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated regulations about how the practice is run.
During the inspection we reviewed information received from the principal dentist. We looked at records about how the service is managed.
The practice is open whenever patients are booked in for treatment.
Our key findings were:
- The provider had established effective systems and processes to ensure good governance in accordance with the fundamental standards of care.
- The provider had reviewed the current staffing levels and ensured the practice could provide routine appointments in a timely manner to its patients as and when required.
- The provider had reviewed the practice’s protocols and implemented a system for referral of patients and ensure referrals are monitored suitably.