The Care Quality Commission
  • Dentist
  • Dentist

Total Orthodontics Brighton

49 Lansdowne Place, Hove, East Sussex, BN3 1HF (01273) 728333

Provided and run by:
Total Orthodontics Limited

All Inspections

06 February 2020

During a routine inspection

We carried out this announced inspection on 06 February 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

Total Orthodontics Brighton and Hove is located in Hove and provides private orthodontic care and treatment for adults and children.

The practice is in a listed building accessed by steps. On street car parking spaces, including parking for people with disabilities, are available.

The dental team includes four specialist orthodontists, one dental hygiene therapist, one qualified dental nurse, two trainee dental nurses, a lead receptionist, a treatment coordinator and a practice manager. The practice has three treatment rooms.

The practice is owned by a company and as a condition of registration must have a person registered with the CQC as the registered manager. Registered managers have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated regulations about how the practice is run. The registered manager at Total Orthodontics Brighton and Hove is the practice manager.

On the day of inspection, we collected 17 CQC comment cards filled in by patients and spoke with a further three patients.

During the inspection we spoke with one specialist orthodontist, one dental hygiene therapist, the lead dental nurse, two trainee dental nurses, the treatment coordinator, the lead 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:

  • Monday 8.39am to 6pm
  • Tuesday 9am to 5pm
  • Wednesday 9am to 7pm
  • Thursday 8.30am to 5pm
  • Friday 9am to 4.30pm
  • Saturday (one per month) 9am to 1pm

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.
  • 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 appropriate preventive care and supported patients to ensure their oral health was maintained whilst undergoing orthodontic treatment.
  • 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.

17 June 2013

During a routine inspection

During our inspection we spoke with four patients. We spoke with six staff; these were the practice manager, the orthodontist, the orthodontic therapist, the treatment co-ordinator, the head nurse and one of the receptionists.

We also took information from other sources to help us understand the views of people who used the service, which included a patient satisfaction survey and staff meeting minutes.

The patients we spoke with told us they thought they received good dental treatment from the orthodontists. One patient told us, 'The dentists are friendly, confident, welcoming and informative.' Another patient told us, 'The dentist was excellent and every consideration was given to me.'

The practice was following appropriate guidance in relation to infection control and the staff were well trained and supported. A member of staff we spoke with told us, 'We have very high standards when it comes to infection control.'

Staff knew what their role was to protect vulnerable adults and children from abuse. A member of staff that we spoke with told us, "I have completed the online safeguarding training and if I have any concerns there is a poster in the staff room about who to contact from the local authority if I need to".

The practice had systems in place to assess and monitor the service and effectively deal with complaints when necessary.

5 March 2012

During a routine inspection

People we spoke with who attended the practice told us that they were very satisfied with the service provided. They said that they found the staff to be friendly and helpful and they were treated with respect and their privacy was maintained.

This was reinforced by positive comments received and also evident from direct observation of effective interaction and of individuals being supported in a professional, sensitive and respectful manner.

People told us that they were given sufficient information about their treatment options and the relevant fees and were able to ask any questions or raise any issues or concerns that they might have.

'My dentist referred us to this practice and we have always been delighted with it. We've been coming now for some time as my other daughter has recently completed a course of treatment'.

'Everything has been explained to us very clearly about the treatment my daughter requires. The orthodontist is very reassuring and is a 'calming influence'. Everyone here is just so kind and helpful'.