• Dentist
  • Dentist

Evolution Orthodontics

26 Clarence Avenue, Gants Hill, Ilford, Essex, IG2 6JH (020) 8518 1022

Provided and run by:
Dr. Maheshchandra Patel

All Inspections

18 February 2020

During a routine inspection

We carried out this announced inspection on 18/02/2020 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 provider 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 adviser.

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 form the framework for the areas we look at during the inspection.

Our findings were:

Are services safe?

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

Are services effective?

We found this practice was providing effective care 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.

Background

Evolution Orthodontics is in the London Borough of Redbridge and provides private orthodontic dental care and treatment for adults and children. The practice previously held an NHS contract to provide orthodontic treatment. They had some patients who were currently completing NHS treatment.

There is level access to the practice for people who use wheelchairs and those with pushchairs. Car parking spaces, including one dedicated parking space for people with disabilities are available near the practice.

The dental team includes four orthodontists, one dental nurse and three trainee dental nurses. The clinical team were supported by a receptionist and a practice manager. The practice has three treatment rooms, one of which is located on the ground floor.

The practice is owned by an individual who is the principal dentist there. They 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 collected 41 CQC comment cards filled in by patients.

During the inspection we spoke with two dentists, one dental nurse, one receptionist and the practice manager. We looked at practice policies and procedures and other records about how the service is managed.

The practice is open between:

8:30 am and 5:30 pm Monday to Fridays

Occasional Saturdays: 9.00 am to 1.00 pm

Our key findings were:

  • The practice appeared to be visibly clean and well-maintained.

  • The provider had infection control procedures which reflected published guidance.

  • Staff knew how to deal with emergencies. Appropriate medicines and life-saving equipment were available with exception of child adhesive pads for use with the automated external defibrillator. The self- inflating reservoir was past its use by date. These items were ordered on the day the inspection and were available shortly after.

  • The provider had systems to help them manage risk to patients and staff.

  • The provider had safeguarding processes and staff knew their responsibilities for safeguarding vulnerable adults and children.

  • The provider had staff recruitment procedures which reflected current legislation.

  • The clinical staff provided patients’ care and treatment in line with current guidelines.

  • Staff treated patients with dignity and respect and took care to protect their privacy and personal information.

  • Staff provided preventive care and supported patients to ensure better oral health.

  • The appointment system took account of patients’ needs.

  • The provider had effective leadership and a culture of continuous improvement

  • Staff felt involved and supported and worked as a team.

  • The provider asked staff and patients for feedback about the services they provided.

  • The provider dealt with complaints positively and efficiently.

  • The provider had information governance arrangements.

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

  • Improve the security of NHS prescription pads in the practice and ensure there are systems in place to track and monitor their use.

  • Review the frequency of checks of medical emergency equipment taking into account the guidelines issued by the Resuscitation Council (UK) and the General Dental Council.

  • Review the suitability of the premises and ensure all areas are fit for the purpose for which they are being used. In particular review and address the areas for improvement identified in the report from the five-year electrical installation inspection.

21 November 2012

During a routine inspection

People told us that proposed treatments were discussed with them by the dentist. They said this was done in a way they could understand. One person told us of their proposed treatment "they made it clear." We observed staff interacting with people in a polite and respectful manner. We saw that the design of the service allowed for discussions to be held in private. We saw that treatment plans were in place, and that these had being signed by people to indicate their consent to treatment. Any financial costs were clearly set out in advance of treatment.

People told us they found the environment to be clean. One person said "I saw the woman (dental nurse) wipe down the surfaces and change the head cover on the chair." We found that staff with responsibility for infection control either had undertaken training or were scheduled to do so in the near future in this subject. We saw that machines used to sterilise equipment was regularly tested. Staff had training on radiation and radiography safety. We saw that dental staff had undertaken various training that counted towards their Continuing Professional Development.

27 January 2012

During a routine inspection

We spoke with two people who use the service, and two parents of people using the service. All four of these gave universally positive feedback. They told us that they felt safe, and that staff always treated them in a friendly and respectful manner. They told us that any proposed treatments were clearly discussed and explained to them, and that they were able to ask questions about anything that was unclear.