The Care Quality Commission
  • Dentist
  • Dentist

Ormond Terrace Dental

17 Ormond Terrace, Regent Street, Cheltenham, Gloucestershire, GL50 1HR (01242) 522161

Provided and run by:
Gensmile Dental Care Limited

Important: The provider of this service changed. See old profile

All Inspections

During an assessment under our new approach

 

We undertook a follow-up off-site inspection of Ormond Terrace Dental on 19 May 2025. This was carried out to review the actions taken by the registered provider to improve the quality of care and to assess whether the practice was meeting legal requirements.

 

We had previously undertaken an announced, on-site inspection of Ormond Terrace Dental on 6 February 2025. We had 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.

 

During our follow-up inspection, we found the practice had met the regulations.

 

The practice had systems and processes in place to manage risks.

 

Recruitment procedures had been reviewed and reflected current legislation.

 

Infection control procedures followed published guidance and changes made ensured staff followed this.

 

Patients’ care and treatment was provided in line with current guidance.

 

Labelling of medicines has been updated to bring this into line with regulatory requirements.

 

At the time of our inspection, we found that patients could access care, support and treatment when required.

 

The practice processes for clinical audit supported continuous improvement.

 

Ormond Terrace Dental is part of Gensmile Dental Care Limited, a dental group provider. The practice is in Cheltenham, Gloucestershire and provides private dental care and treatment for adults and children.

Access to the practice is not step free. Car parking spaces are available near the practice in pay and display car parks. There is also some metered parking on roads nearby. For patients with limited mobility and wheelchair users, the practice can refer these patients to a sister practice nearby which is fully accessible.

 

The practice has 4 treatment rooms.The practice team consisted of 3 dentists, 1 hygienist, 1 oral surgeon, 1 endodontist, 1 qualified dental nurse, 3 trainee dental nurses, 1 receptionist, 1 treatment coordinator and a practice manager.

 

During this follow-up inspection we spoke with the practice manager and the compliance lead for the Gensmile Dental Care group.

 

 

During an assessment under our new approach

We carried out this assessment on 6 February 2025. The practice had not met all regulations. Patients’ care and treatment was provided in line with current guidance, although protocols to support safe care and treatment were not always followed. Infection control procedures were in place; the practice was visibly clean. Management of cleaning tools and workwear was not in line with recognised guidance. The practice had systems to manage risks; these were not always followed. Processes for the management of staff recruitment reflected current legislation, but were not routinely followed. The practice was unable to evidence that all required staff training had been completed. Patients were treated with dignity and respect and could access treatment when required. Medicines and prescriptions were not managed in line with current guidance. Evidence of patients’ consent to care and treatment was not available for inspection due to disjointed systems around record keeping. Ormond Terrace Dental is part of Gensmile Dental Care Limited. This practice in Cheltenham, provides private dental care and treatment. The practice is not fully accessible. For those with limited mobility the practice can refer patients to a sister practice nearby which is fully accessible. The practice has 4 treatment rooms. The dental team consists of 3 dentists, 1 hygienist, 1 oral surgeon, 1 endodontist, 1 qualified dental nurse, 3 trainee dental nurses, 1 receptionist, 1 treatment coordinator and a practice manager. During the assessment we spoke with 1 dentist, 2 dental nurses, a receptionist and the compliance lead for Gensmile Dental Care Limited. Feedback forms were shared with the team ahead of the assessment. We received 3 responses, which were considered in our assessment. The provider was not complying with Regulation 17, good governance and details of this breach are within this report. We have asked the provider for an action plan in response to the concerns found at this assessment.