Updated 23 December 2022
We undertook a follow up focused inspection of Melton Orthodontics Nottingham Street on 23 November 2022. 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 led by a CQC inspector who was supported by a specialist dental adviser.
We undertook a comprehensive inspection of Melton Orthodontics Nottingham Street on 22 June 2022 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 Melton Orthodontics Nottingham Street Dental Practice on our website www.cqc.org.uk.
As part of this inspection we asked:
• Is it safe?
• Is it well-led?
When one or more of the five questions are not met we require the service to make improvements and send us an action plan (requirement notice only). We then inspect again after a reasonable interval, focusing on the areas where improvement was required.
Our findings were:
Are services safe?
We found this practice was providing safe care in accordance with the relevant regulations.
The provider had made improvements in relation to the regulatory breach we found at our inspection on 22 June 2022.
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 22 June 2022.
Background
The provider has one practice and this report is about Melton Orthodontics Nottingham Street.
Melton Orthodontics Nottingham Street is in Melton and provides NHS and private orthodontic treatment for adults and children.
There is level access to the practice for people who use wheelchairs and those with pushchairs. Car parking spaces, including dedicated parking for people with disabilities, are available near the practice. The practice has made some reasonable adjustments to support patients with additional needs.
The dental team includes 4 dentists, 2 of whom are orthodontic specialists, 4 dental nurses, 1 orthodontic therapist, a practice manager and 2 receptionists. The practice has 4 treatment rooms.
During the inspection we spoke with 1 dentist, 3 dental nurses, 1 receptionist and the practice manager. We looked at practice policies and procedures and other records about how the service is managed.
The practice is open:
Monday to Friday from 8.15am to 4.15pm
Every other Tuesday and Wednesday from 8.15am to 6.30pm
One Saturday per month from 8.30am to 12.30pm
Our key findings were:
- Audits of radiography and infection prevention and control were undertaken in recommended timescales and where appropriate, learning points and action plans were developed.
- Monthly and weekly water temperature checks of sentinel taps were recorded as per the legionella risk assessment.
- A satisfactory fixed wire electrical safety certificate was available.
- Risk assessments were in place and reviewed regularly.