The Care Quality Commission
  • Dentist
  • Dentist

Barbican Orthodontic Clinic

84-85 Long Lane, London, EC1A 9ET (020) 7726 8282

Provided and run by:
Dr. Garry Mancini

All Inspections

25 October 2022

During a routine inspection

We carried out this announced comprehensive inspection on 25 October 2022 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 asked 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:

  • The orthodontic clinic was visibly 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 help them manage risk to patients and staff.
  • 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.
  • The clinical staff provided patients’ care and treatment in line with current guidelines.
  • Patients were treated with dignity and respect and staff 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.
  • There was effective leadership and a culture of continuous improvement.
  • Staff felt involved and supported and worked as a team.
  • Staff and patients were asked for feedback about the services provided.
  • The orthodontic clinic had information governance arrangements.

Background

Barbican Orthodontic Clinic is in the London Borough of Islington and provides NHS and private orthodontic treatment for adults and children.

There is level access into the building for people who use wheelchairs or those with pushchairs.

The team consists of 3 orthodontists, 1 orthodontic therapist, 1 qualified dental nurse, a practice manager and 1 receptionist. The practice has 4 treatment rooms.

During the inspection we spoke with the practice manager and the orthodontic therapist. We looked at practice policies and procedures and other records about how the service is managed.

The practice is open:

Monday to Friday from 9am to 5pm.

13 September 2013

During a routine inspection

Two patients and the relative of a patient spoke with us during our visit. When we asked if these people felt able to discuss their treatment options with staff each person said they felt confident to do this. One patient told us 'my treatment has so far lasted three and a half years and I have always felt comfortable using this service.' Another person told us, 'we are always told about how the treatment is going and if anything needs to change we are also told.'

We saw the records of five patients who had been examined by the orthodontist on the day prior to our visit. We found in each case that there were completed medical history updates and treatment plans.

We saw records confirming that updated safeguarding training for all staff at this practice had been carried out in March 2013.

We inspected the premises and noted that all areas of the practice, including the examination and treatment areas were clean. There were effective measures in place to minimise the risk of infection.

Staff training records showed that all staff undertook regular training. The staff had access to specialist advice and up to date information about their specific area of work. We saw examples of customer satisfaction feedback that the practice had received, all of which were positive about the individual's personal experience of the service.