The Brace Orthodontic Group - London City

On this page

• Overview
• Assessing needs
• Delivering evidence-based care and treatment
• How staff, teams and services work together
• Supporting people to live healthier lives
• Monitoring and improving outcomes
• Consent to care and treatment

We found this practice was providing effective care in accordance with the relevant regulations and had taken into consideration appropriate guidance.

Find out what we look at when we assess this area in our information about our new Single assessment framework.

The judgement for Assessing needs is based on the latest evidence we assessed for the Effective key question.

The practice offered private orthodontic treatment for patients. The specialist orthodontists carried out patient assessments in line with recognised guidance from the British Orthodontic Society. They accepted orthodontic referrals from general dental practitioners and saw patients who self-referred themselves. Most of the orthodontic treatment provided by the practice was through the use of clear aligners, but some orthodontic treatment was through the use of fixed braces. There were arrangements in place to refer patients back to their general dental practitioners for routine dental treatment, and treatment required as part of their orthodontic treatment plans, such as dental extractions. Where applicable, patients were referred to secondary care specialists for treatment the practice or referring general dental practitioners did not provide. This included referring patients with suspected cancer under the national two-week wait arrangements. The practice had an onsite laboratory which was registered with the Medicines and Healthcare products Regulatory Agency. The provider had systems to ensure that people who used the service received person-centred, care and treatment, that was appropriate, met their needs and was reflective of their personal preferences. Preventive oral health care was encouraged. Patients were reminded to scan their teeth every 4 days with their smart phones, and these scans were reviewed by artificial intelligence and the specialist orthodontists to monitor the patient’s progress. Review appointments were made only when required.

We looked at 5 patient care records. The information recorded in these patient care records was in line with recognised guidance. We saw evidence the orthodontists justified, graded and reported on the radiographs they took. Staff obtained patients’ consent for treatment in line with legislation and guidance and understood their responsibilities under the Mental Capacity Act 2005. Staff described how they involved patients’ relatives or carers when appropriate and made sure they had enough time to explain treatment options clearly. Staff kept up to date with current evidence-based practice, and had the skills, knowledge and experience to carry out their roles. They felt the practice supported them to develop and enabled them to take on responsibilities, such as patient treatment co-ordinator roles. We saw dental nurses had received additional training to allow them to take impressions and carry out intra-oral scanning.

The judgement for How staff, teams and services work together is based on the latest evidence we assessed for the Effective key question.

The judgement for Supporting people to live healthier lives is based on the latest evidence we assessed for the Effective key question.

The judgement for Monitoring and improving outcomes is based on the latest evidence we assessed for the Effective key question.

The judgement for Consent to care and treatment is based on the latest evidence we assessed for the Effective key question.