The Orthodontic Centre (Bracknell)

We carried out this announced comprehensive inspection on 5 October 2023 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 practice was meeting the legal requirements in the Health and Social Care Act 2008 and associated regulations.

The inspection was led by a Care Quality Commission (CQC) inspector who was supported by a specialist dental advisor.

To get to the heart of patients’ experiences of care and treatment, we always ask the following 5 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:

• The dental clinic appeared clean and well-maintained.
• The practice had infection control procedures which reflected published guidance.
• Staff knew how to deal with medical emergencies. Appropriate medicines and life-saving equipment were available.
• The practice had systems to manage risks for patients, staff, equipment and the premises.
• Safeguarding processes were in place and staff knew their responsibilities for safeguarding vulnerable adults and children.
• The practice had staff recruitment procedures which reflected current legislation.
• Clinical staff provided patients’ care and treatment in line with current guidelines.
• Patients were treated with dignity and respect. Staff took care to protect patients’ privacy and personal information.
• Staff provided preventive care and supported patients to ensure better oral health.
• The appointment system worked efficiently to respond to patients’ needs.
• The frequency of appointments was agreed between the orthodontist and the patient, giving due regard to National Institute of Health and Care Excellence (NICE) guidelines.
• There was effective leadership and a culture of continuous improvement.
• Staff felt involved, supported and worked as a team.
• Staff and patients were asked for feedback about the services provided.
• Complaints were dealt with positively and efficiently.
• The practice had information governance arrangements.

Background

The provider is part of a group The Orthodontic Centre (Reading) Ltd has 4 practices, and this report is about The Orthodontic Centre (Bracknell).

The Orthodontic Centre (Bracknell) is in Bracknell and provides NHS and private orthodontic dental care and treatment for adults and children.

There is step free access to the practice, via a lift,as the practice is situated on the first floor. There is easy access for those who use wheelchairs or have pushchairs. Car parking spaces, including dedicated parking for disabled people, are available near the practice. The practice has made reasonable adjustments to support patients with access requirements.

The dental team includes 4 orthodontic specialists, 1 dentist, 4 registered dental nurses, 3 orthodontic therapists, a practice manager, 2 administrators, a treatment co-ordinator and 3 receptionists. The practice has 3 treatment rooms.

During the inspection we spoke with a specialist orthodontist, 2 dental nurses, the treatment co-ordinator, a receptionist, and the practice manager. We looked at practice policies, procedures and other records to assess how the service is managed.

The practice is open:

• Monday 8am to 4.30pm
• Tuesday and Thursday 10am to 7pm
• Wednesday 8.15am to 5.30pm
• Friday 7.45am to 4.30pm
• Saturday 8.15am to 1pm (on rotation)

There were areas where the provider could make improvements. They should:

Take action to ensure audits of radiography are fully completed and where appropriate, audits have documented learning points and the resulting improvements can be demonstrated.