The Care Quality Commission
  • Dentist
  • Dentist

Archived: Total Orthodontics Crawley

27A Mill Road, Three Bridges, Crawley, West Sussex, RH10 1ND (01293) 540003

Provided and run by:
Total Orthodontics Limited

All Inspections

24 May 2017

During a routine inspection

We carried out this announced inspection on 24 May 2017 under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. We planned the inspection to check whether the registered provider was meeting the legal requirements in the Health and Social Care Act 2008 and associated regulations. The inspection was led by a CQC inspector who was supported by a specialist dental adviser.

To get to the heart of patients’ experiences of care and treatment, we always ask the following five questions:

• Is it safe?

• Is it effective?

• Is it caring?

• Is it responsive to people’s needs?

• Is it well-led?

These questions form the framework for the areas we look at during the inspection.

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

Total Orthodontics Crawley, is owned by the corporate provider named Bupa that has a number of orthodontic practices across England. This dental practice is based in Surrey and provides NHS and private orthodontic treatment to patients of all ages.

There is level access for people who use wheelchairs and pushchairs. Car parking spaces, including some for patients with disabled badges, are available near the practice.

The dental team includes three specialist orthodontic dentists, two orthodontic therapists, three dental nurses, and three receptionists/administrators and a practice manager. The practice has one treatment room with two dental chairs. There is a small outdoor cabin where this is used for storage and a staff room.

The practice manager is the registered manager. A registered manager is a person who is registered with the Care Quality Commission to manage the service. 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.

On the day of inspection we collected 5 CQC comment cards filled in by patients and spoke with one patient. This information gave us a positive view of the practice.

During the inspection we spoke with the two dental therapists, the dental nurses, both receptionists and the practice manager. We looked at practice policies and procedures and other records about how the service is managed.

Our key findings were:

  • The practice was clean and well maintained.
  • The practice had infection control procedures which reflected published guidance.
  • Staff knew how to deal with emergencies. Appropriate medicines and life-saving equipment were available.
  • The practice had systems to help them manage risk.
  • The practice had suitable safeguarding processes and staff knew their responsibilities for safeguarding adults and children.
  • The practice had thorough staff recruitment procedures.
  • The clinical staff provided patients’ care and treatment in line with current guidelines.
  • Staff treated patients with dignity and respect and took care to protect their privacy and personal information.
  • The appointment system met patients’ needs.
  • The practice had effective leadership. Staff felt involved and supported and worked well as a team.
  • The practice asked staff and patients for feedback about the services they provided.
  • The practice dealt with complaints positively and efficiently.

15 November 2013

During a routine inspection

We spoke with one patient and three parents of patients who had visited the practice on the day of our inspection. They all spoke positively about their experience describing it as "Really good", "Very friendly" and "Efficient."

We found evidence that patients were given sufficient information to be able to make informed decisions about their treatment. We also saw that written consent to treatment was obtained from patients in advance.

The practice had systems in place to manage medical emergencies. All staff had up to date training in basic life support. We saw that emergency medication and equipment was routinely checked and maintained.

The practice had policies and procedures in place for safeguarding vulnerable adults and children. All staff had received training on safeguarding and understood their roles and responsibilities in relation to this. This meant that patients who used the service were protected from the risk of abuse.

The practice had effective policies and procedures in place for the decontamination of instruments and controlling the risk of infection. We observed that the treatment rooms in the practice were clean and hygienic.