Poole Orthodontics Ltd

On this page

• Overview
• Shared direction and culture
• Capable, compassionate and inclusive leaders
• Freedom to speak up
• Workforce equality, diversity and inclusion
• Governance, management and sustainability
• Partnerships and communities
• Learning, improvement and innovation

We found this practice was providing well led care in accordance with the relevant regulations and had taken into consideration appropriate guidance. The provider had made improvements in relation to the regulatory breaches we found at our inspection on 23 January 2024.

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

The judgement for Shared direction and culture is based on the latest evidence we assessed for the Well-led key question.

The judgement for Capable, compassionate and inclusive leaders is based on the latest evidence we assessed for the Well-led key question.

The judgement for Freedom to speak up is based on the latest evidence we assessed for the Well-led key question.

The judgement for Workforce equality, diversity and inclusion is based on the latest evidence we assessed for the Well-led key question.

At the inspection on 20 August 2024 we found the practice had made the following improvements to comply with the regulations: Feedback from staff was obtained through meetings and informal discussions. Meeting minutes were shared with staff unable to attend the meetings. Staff told us the practice had taken steps to improve the governance and management of the practice, but further improvements were ongoing. Staff told us of their continued concerns with staffing at the practice, in particular there was no receptionist or practice manager. We received feedback from patients following the inspection highlighting the impact they were experiencing in making appointments due to a lack of staff to communicate with. The provider told us of their plans for recruitment. We saw that improvements to the systems in place to aid communication amongst the providers were ongoing.

At the inspection on 20 August 2024 we found the practice had made the following improvements to comply with the regulations: Privacy screens have been added to computer equipment to ensure patient information was protected and secure. The practice had improved their systems to review and investigate incidents and accidents. An incident and events register was in place which tracked to an incident and events log. A General Data Protection Regulation (GDPR) compliant accident book was also available. The practice had a governance system which included policies, protocols and procedures that were accessible to all members of staff. We saw that improvements were underway to ensure these were reviewed on a regular basis. The practice had reviewed their systems and processes for learning, quality assurance and continuous improvement. This included ensuring audits such as infection prevention and control, and radiography were completed according to recognised guidance. The practice had improved their processes for managing risks, issues and performance. For example, recommended actions to mitigate the risks associated with fire and Legionella had been completed. We saw evidence that complaints were managed appropriately.

The judgement for Partnerships and communities is based on the latest evidence we assessed for the Well-led key question.

The judgement for Learning, improvement and innovation is based on the latest evidence we assessed for the Well-led key question.