• Dentist
  • Dentist

Archived: West House Orthodontic Practice

94 Prenton Road West, Prenton, Birkenhead, Merseyside, CH42 9PX (0151) 609 0900

Provided and run by:
Mr. Paul O'Neill

Important: The provider of this service changed. See new profile

All Inspections

28 June 2016

During a routine inspection

We carried out an announced comprehensive inspection on 28 June 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

West House Orthodontic Practice is located in a residential suburb close to the centre of Birkenhead and comprises a reception and waiting room, four treatment rooms, two of which are on the ground floor, offices, storage and staff rooms. Parking is available outside the premises. The practice is accessible to patients with disabilities, impaired mobility and to wheelchair users.

The practice is a referral practice and provides specialist orthodontic treatment predominantly to children and young adults on an NHS basis, and to patients of all ages on a privately funded basis. Orthodontics is specialist dental treatment which corrects irregularities in the alignment of the teeth in order to improve the position, appearance and function of the teeth.

The practice opening times are Monday, Wednesday and Thursday 8.30am to 5.00pm, Tuesday 8.30am to 6.30pm and Friday 8.30am to 4.00pm. The practice is staffed by a principal dentist and an associate dentist, both of whom are specialist orthodontists, a practice manager, an orthodontic therapist, five dental nurses and one receptionist.

A dental service provider who is separately registered with the CQC shares this location. The practice facilities and staff are shared between the two providers.

The principal dentist 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.

We received feedback from 29 people during the inspection about the services provided. Patients commented that they found the practice excellent and well organised, and that staff were professional, friendly and caring. They said that they were always given good and helpful explanations about dental treatment and that the dentists listened to them. Patients commented that the practice was clean and comfortable, that appointments ran to time and all staff were very approachable.

Our key findings were:

  • The practice had procedures in place to record and analyse significant events and incidents and acted on safety alerts.
  • Staff had received safeguarding training and knew the process to follow to raise concerns.
  • There were sufficient numbers of suitably qualified and skilled staff to meet the needs of patients.
  • Staff had been trained to deal with medical emergencies, and emergency medicines and equipment were available.
  • Premises and equipment were clean, secure and well maintained.
  • Infection control procedures were in place and the practice followed current guidance.
  • Patients’ needs were assessed, and care and treatment were delivered, in accordance with current legislation, standards and guidance.
  • Patients received explanations about their care, proposed treatment, costs, benefits and risks and were involved in making decisions about it.
  • Staff were supported to deliver effective care, and opportunities for training and learning were available.
  • We observed that patients were treated with kindness, dignity and respect, and their confidentiality was maintained.
  • The appointment system patients’ needs and emergency appointments were available.
  • Services were planned and delivered to meet the needs of patients and reasonable adjustments were made to enable patients to receive their care and treatment.
  • The practice gathered the views of patients and took into account patient feedback.
  • Staff were supervised, felt involved and worked as a team.
  • Governance arrangements were in place for the smooth running of the practice and for the delivery of high quality person centred care.

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

  • Review the storage of paper-based dental care records to ensure they are stored securely.
  • Review the security of the decontamination room having due regard to the guidelines issued by the Department of Health - Health Technical Memorandum 01-05: Decontamination in primary care dental practices and The Health and Social Care Act 2008: Code of Practice about the prevention and control of infections and related guidance.
  • Review the practice’s waste handling policy and procedures to ensure waste is stored securely in accordance with relevant regulations having due regard to guidance issued in the Department of Health, Health Technical Memorandum 07-01: Safe management of healthcare waste.
  • Review staff awareness of the requirements of the Mental Capacity Act 2005 and ensure all staff are aware of their responsibilities under the Act as it relates to their role.
  • Review the practice’s complaint handling procedures to ensure information is available about the further steps people can take to escalate their complaints, and information on who to complain to about private dental treatment.

30 October 2012

During a routine inspection

We found that the young people receiving treatment and their relatives were informed as to the options and course of treatment needed and consent was obtained in all cases before treatment commenced. One young person told us that the dentist had showed her pictures of what was going to happen and how this would look. We looked at the clinical notes kept for patients and the records for four people, records were maintained by the dentist during each consultation and notes recorded detailed examination, treatment planning and agreement. All staff working in the practice had attended safeguarding training, and all had relevant criminal record bureau disclosure checks (CRB's). The surgeries we looked at were clean and tidy and free from clutter and we found that daily and weekly schedules were in place for hygiene and cleaning of the surgeries. Staff told us they enjoyed seeing the young people grow and develop in confidence during the time they attended the practice for treatment. West House Orthodontics had an effective and accessible complaints procedure.