Total Orthodontics Sheffield

Updated 21 August 2015

We inspected Sheffield 2 on the 21 July 2015. The inspection team consisted of a lead inspector and a specialist advisor.

We reviewed a range of information we held about the service for example Sheffield 2 website and notifications.

During the inspection we toured the premises, spoke with two orthodontists, two dental nurses, one orthodontist therapist, a receptionist and the practice manager. We spoke with two patients and their relatives. We observed positive communication and interactions between staff and patients; both face to face and on the telephone within the reception area. We reviewed 32 CQC comment cards where patients had shared their views and experiences of the practice. We also reviewed documents relating to the management of the practice.

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 therefore formed the framework for the areas we looked at during the inspection.

Updated 21 August 2015

We carried out an announced comprehensive inspection of Sheffield 2 on the 21 July 2015 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 this practice was providing caring services in accordance with the relevant regulations.

Are services effective?

We found this practice was providing caring services in accordance with the relevant regulations.

Are services caring?

We found this practice was providing caring services in accordance with the relevant regulations.

Are services responsive?

We found this practice was providing responsive care in accordance with the relevant regulations.

Are services well-led?

We found this practice was providing well led care in accordance with the relevant regulations.

Sheffield 2 provides orthdontic services to NHS and private orthodontic patients. The treatments range from teeth whitening, fixed aesthetic braces to clear aligner treatments. The service is provided by two specialist orthdontists who are supported by one orthodontic therapist, four nurses, two receptionists and a practice manager. The practice is located on the first floor of a multi-purpose business premises. There are four surgeries, an oral health education area, a reception area and a waiting room, with a patient toilet available on the lower ground floor. The practice is located close to local amenities and bus services. There is ample parking in the surrounding area. Opening hours are Monday and Thursday 9:00am to 5:30pm, Tuesday 9:00am to 6:30pm, Wednesday 8:00am to 4:30pm and Friday 8:00am to 3:00pm.

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 spoke with two patient's and their relatives who used the service and reviewed 32 CQC comment cards that had been completed by patients prior to the inspection. The patients and their relatives we spoke with were very positive about the care and treatment they received at the practice. They told us they were involved in all aspects of their care and found the staff to be very friendly, kind, caring, understanding and they were always treated with dignity and respect.

Our key findings were:

• The practice had systems to assess and manage risks to patients, including infection prevention and control, health and safety, safeguarding, recruitment and the management of medical emergencies.
• The orthodontist carried out an assessment in line with recognised guidance from the British Orthodontic Society (BOS). Information about care and treatment options and support was available to patients, for example information on the cost of treatment.
• Patients told us they were treated with kindness and respect by staff. Staff ensured there was sufficient time to explain fully the care and treatment they were providing in a way patients understood.
• Patients were able to make routine and emergency appointments when needed. The practice had a complaints system in place and there was an openness and transparency in how these were dealt with.
• There was a clear leadership structure and staff felt supported by management. The practice proactively sought feedback from patients.