We carried out an announced comprehensive inspection on 7 November 2016 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 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

Regent Orthodontics Limited provides specialist NHS and private orthodontic care to children and adults. It consists of a team of orthodontists supported by an orthodontic therapist, a senior orthodontic nurse, five dental nurses, a practice manager and two receptionists. There is also a technician based at the practice.

The practice is based in the centre of Ilkley and has four treatment rooms, a decontamination room, office/ staff area, a technician’s workshop, a waiting room and reception area and a ground floor toilet. There is public parking available near the practice. The opening hours are Monday-Friday 8:30am-5:30pm, with the exception of Friday when the practice closes at 1pm.

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.

We received feedback from 60 people about the services provided. Patients commented that they found the staff friendly, caring and all the staff listened to them and took appropriate action. They commented that the orthodontists and therapist were knowledgeable and they were always given good and helpful explanations about orthodontic treatment. Patients commented that the practice was clean and comfortable.

Our key findings were:

• The premises were visibly clean and free from clutter.
• The practice had procedures in place to record and analyse significant events and incidents.
• Staff had received safeguarding training, and knew the process to follow to raise concerns.
• There were sufficient numbers of suitably qualified, skilled staff to meet the needs of patients.
• Staff had been trained to deal with medical emergencies, and emergency medicines and equipment were available.
• Patients’ needs were assessed, and care and treatment were delivered, in accordance with current legislation, standards, and guidance.
• Patients received information about their care, proposed treatment, costs, benefits, and risks and were involved in making decisions about it.
• Orthodontic treatment was well planned and provided in line with current guidelines.
• Staff were supported to deliver effective care, and opportunities for training and learning were available.
• Patients were treated with kindness, dignity, and respect.
• The appointment system met the needs of patients, and emergency appointments were available.
• Services were planned and delivered to meet the needs of patients, and reasonable adjustments were made to enable patients to receive their care and treatment.
• The practice gathered the views of patients and took their views into account.
• Staff were supervised, felt involved, and worked as a team.
• Governance arrangements were in place for the smooth running of the practice, and for the delivery of high quality person centred care.

There were areas where the provider could make improvements and should:

• Review the decontamination procedures and the monitoring of emergency drugs and equipment.  

• Review the confidentiality and security of patients records stored in the reception area
• Review the use of CCTV within the practice and fully comply with the Information Commissioner's Office (ICO) guidance.
• Review the recruitment policy to ensure it reflects current practice.