The Care Quality Commission
  • Dentist
  • Dentist

Katz & Madhok Orthodontics

165 Hale Lane, Edgware, Middlesex, HA8 9QN (020) 8906 8660

Provided and run by:
Dr. Gaurav Madhok

All Inspections

14 September 2022

During an inspection looking at part of the service

We undertook a follow up desk-based review of Katz & Madhok Orthodontics on 14 September 2022. This was carried out to review in detail the actions taken by the registered provider to improve the quality of care and to confirm that the practice was now meeting legal requirements.

The review was led by a CQC inspector who had remote access to a specialist dental adviser.

We undertook a comprehensive inspection of Katz & Madhok Orthodontics on 13 June 2022 under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. We found the registered provider was not providing well led care and was in breach of regulation 17 of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014. You can read our report of that inspection by selecting the 'all reports' link for Katz & Madhok Orthodontics dental practice on our website www.cqc.org.uk.

When one or more of the five questions are not met, we require the service to make improvements and send us an action plan (requirement notice only). We then inspect again after a reasonable interval, focusing on the area(s) where improvement was required.

As part of this inspection we asked:

• Is it well-led?

Our findings were:

Are services well-led?

We found this practice was providing well-led care in accordance with the relevant regulations.

The provider had made improvements in relation to the regulatory breach/es we found at our inspection of 13 June 2022.

Background

Katz and Madhok Orthodontics is in Edgeware, in the London Borough of Barnet and provides NHS and private dental care and treatment for adults and children.

Car parking spaces are available near the practice and it is also located to public transport services.

The practice has made reasonable adjustments to support patients with additional needs, including adapted toilet facilities on the ground floor.

The dental team includes 2 orthodontist specialists, 3 dental nurses, and 1 receptionist. The clinical team is supported by a practice manager. The practice has 4 treatment rooms.

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

The practice is open:

Monday, Wednesday and Thursday from 8.30am to 5.30pm.

Tuesday from 8.30am to 7pm.

Friday 8.30am to 1pm.

13 June 2022

During an inspection looking at part of the service

We carried out this announced focused inspection on 13 June 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 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 adviser.

To get to the heart of patients’ experiences of care and treatment, we usually ask five key questions, however due to the ongoing COVID-19 pandemic and to reduce time spent on site, only the following three questions were asked:

• Is it safe?

• Is it effective?

• Is it well-led?

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

Our findings were:

  • The dental 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.
  • 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.
  • Staff provided preventive care and supported patients to ensure better oral health.
  • 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 dental clinic had information governance arrangements.
  • The practice had some systems in place to help them manage risk to patients and staff. However, improvements were needed to ensure that fire risk assessments were carried out and reviewed regularly and there was ongoing and effective fire safety management. Furthermore, improvements were needed to ensure safety checks of the premises were completed in a timely manner.

Background

Katz and Madhok Orthodontics is in Edgeware, in the London Borough of Barnet and provides NHS and private dental care and treatment for adults and children.

Car parking spaces are available near the practice and it is also located to public transport services.

The practice has made reasonable adjustments to support patients with additional needs, including adapted toilet facilities on the ground floor.

The dental team includes two orthodontist specialists, three dental nurses, and one receptionist. The clinical team is supported by a practice manager. The practice has four treatment rooms.

During the inspection we spoke with one orthodontist specialist, one dental nurse, the 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, Wednesday and Thursday from 8.30am to 5.30pm.

Tuesday from 8.30am to 7pm.

Friday 8.30am to 1pm.

We identified regulations the provider was not complying with. They must:

  • Establish effective systems and processes to ensure good governance in accordance with the fundamental standards of care

Full details of the regulation the provider was not meeting are at the end of this report.

15 January 2014

During a routine inspection

Patients' privacy was respected. Patients were able to discuss treatment, medical history, fees and other matters behind closed doors in the treatment room.

Patients we spoke with were positive about the quality of care and treatment received. One patient remarked 'what they tell you is what they give you.' A patient who had participated in the provider's latest patient survey fed back that they had received 'good care - from the receptionists to the orthodontists.'

Staff we spoke with demonstrated an understanding of safeguarding children and vulnerable adults. A dental nurse was able to describe possible types of abuse such as physical and emotional abuse whilst the practice manager was able to explain how they would report safeguarding concerns.

We looked at provider records and saw that an external NHS England infection control audit had taken place in August 2013. We looked at the audit recommendations and were able to confirm, for example, that the provider had removed fabric seat coverings in the waiting room and replaced them with vinyl, so as to prevent infection.

The provider's electronic and paper patient records clearly indicated where a patient's medical condition might impact on treatment as medical histories were updated at each visit, as necessary. This meant that the provider had accurate records to help identify and manage risks in relation to providing treatment.