Archived: Ortho Limited t/a Cheyne Walk Orthodontics

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.

Patients were not supported to maintain their oral health and were not always provided with appropriate information and resources. Staff said instructions and aftercare such as, how to look after your retainer were given verbally only. The practice did not have aftercare leaflets. The Integrated care board conducted a targeted patient survey in February 2024 for NHS patients receiving orthodontic treatment. There were 47 patient responses to questions regarding their retainers, of which all said the orthodontist had told them when the retainers needed to be worn. Eighty-eight per cent were told how long to wear the retainers for.

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. The dentist confirmed, where applicable, they referred patients to a range of specialists in primary and secondary care for treatment the practice did not provide. Staff told us how they kept up to date with current evidence-based practice. The practice provided preventive care and supported patients to ensure better oral health. Staff were aware of national oral health campaigns and local schemes which supported patients to live healthier lives. Staff felt the practice supported them to develop and enabled them to take on lead roles and responsibilities. Staff worked together and with other health and social care professionals to deliver effective care and treatment. Staff demonstrated their understanding of the need to obtain patients’ consent to care and treatment in line with legislation and guidance. They understood their responsibilities under the Mental Capacity Act 2005. The practice had a consent policy which was last reviewed in 2021. The provider told us they had reviewed this since 2021 but did not provide an updated version. Staff described how they involved patients’ relatives or carers when appropriate and made sure they had enough time to explain treatment options clearly.

Staff did not have the skills, knowledge and experience to carry out their roles. Not all staff had received training in medical emergencies, fire, legionella, sepsis, or safeguarding. The provider had not registered for Surgical Procedures as a regulated activity. We noted the practice had carried out dental implants within the last six-months and advertised implants on their website. Dental implants fall within scope of registration for the Surgical Procedures regulated activity. We reviewed 2 records that included the provision of dental implants and found the treatment was in accordance with national guidance. The orthodontist carried out a patient assessment in line with recognised guidance from the British Orthodontic Society. We looked at 6 patient care records. The information recorded in these patient care records was in line with recognised guidance. Staff obtained patients’ consent to care and treatment in line with legislation and guidance. They understood their responsibilities under the Mental Capacity Act 2005. We saw evidence the dentists justified, graded and reported on the radiographs they took. Staff worked together and with other health and social care professionals to deliver effective care and treatment. The practice had systems for referring patients with suspected cancer under the national two-week wait arrangements.

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.