Updated 18 April 2023
We carried out this announced comprehensive inspection on 4 April 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, the orthodontic therapists and the patient, giving due regard to recognised guidance.
- 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.
- Systems and processes were in place to ensure any complaints were dealt with positively and efficiently.
- The practice had information governance arrangements.
Background
Bolton Orthodontic Centre is in Bolton, Lancashire and provides NHS and some private orthodontic care and treatment for adults and children.
There is step free access to the practice for people who use wheelchairs and those with 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 clinical team includes the practice principal who is a specialist orthodontist, a dentist with a special interest in orthodontics, 7 orthodontic nurses, 2 orthodontic therapists, a business manager, a practice manager and 2 receptionists. The practice has 3 treatment bays and 1 treatment room.
During the inspection we spoke with 2 orthodontic therapists, 5 orthodontic nurses, a receptionist and the practice manager. Prior to our inspection, we spoke to the practice principal who is the specialist orthodontist and the practice business manager. We looked at practice policies, procedures and other records to assess how the service is managed.
The practice is open: Monday to Friday from 9am to 5pm.