This was the practices first inspection since registering as a service in October 2013. Our inspection was carried out over seven hours. During this time we spoke with all the staff on duty which included the dentist, two dental nurses, the receptionist and the practice manager. We also spoke with three patients who received consultations during the inspection.

The practice primarily provides private orthodontic treatments and some dental implant treatment. Orthodontists are concerned with the study and treatment of improper bites, which may be a result of tooth irregularity and/or disproportionate jaw alignment. Orthodontic treatment can focus on dental displacement only, or can deal with the control and modification of facial growth. A dental implant is a surgical component that interfaces with the bone of the jaw or skull to support a dental prosthesis such as a crown, bridge, denture, facial prosthesis or to act as an orthodontic anchor.

The patients we spoke with gave us positive feedback. They talked about the kindness and professionalism of the staff who treated them. Patients told us they were kept informed and involved in all aspects of their treatment and were provided with choices based on their needs. Privacy and dignity was respected by staff and the environment for treatment was separate from the waiting and reception areas of the practice.

Care and treatment was carried out in consultation with patients. It was provided by informed and appropriately skilled staff. Evidence from photographic images showed the treatment provided to patients was effective in achieving the outcomes patients stated. Arrangements were in place to manage medical emergencies with all equipment and medicines being in date and fit for use by the trained staff in the practice.

Patients were treated in a clean and hygienic environment by clinical staff who were aware of and followed current hygiene and infection control guidelines. Surgical equipment was cleaned in a dedicated decontamination room by staff who followed guidance provided in the Department of Health’s health technical memorandum, HTM01-05 2013. Patients commented positively of the cleanliness of the environment and in the use of personal protective equipment used by staff.

Staff were recruited in line with expected guidance and staff received basic training which orientated them to the practice and their role. Records showed that appropriate checks were made to ensure staff were registered with the appropriate professional bodies and that Disclosure and Barring Service checks were completed.

Clinical record keeping was completed to a high standard and contained detailed notes of the choices, preferences and treatment provided to and for patients. Records relating to the management of the practice were of a good standard and clearly stated the checks made and the works carried out. These findings showed patients received safe and effective care and treatment in a caring environment from a responsive and well led provider.