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Inspection report

Date of Inspection: 8 January 2014
Date of Publication: 13 February 2014
Inspection Report published 13 February 2014 PDF | 83.38 KB

People should get safe and appropriate care that meets their needs and supports their rights (outcome 4)

Meeting this standard

We checked that people who use this service

  • Experience effective, safe and appropriate care, treatment and support that meets their needs and protects their rights.

How this check was done

We looked at the personal care or treatment records of people who use the service, carried out a visit on 8 January 2014, observed how people were being cared for and talked with people who use the service. We talked with carers and / or family members, talked with staff and talked with other regulators or the Department of Health.

Our judgement

People experienced care, treatment and support that met their needs and protected their rights.

Reasons for our judgement

We spoke with five people who used the service, during and following our inspection. We looked at the records of three people. People we spoke with told us they were always asked about their medical history and if there had been any changes to their health or medication since their last recall appointment. One person said, "I always tell the dentist if there are any changes to my medication it's important". "This meant people’s needs were assessed and treatment was planned and delivered in line with their individual needs.

People we spoke with confirmed that they were able to make appointments at times that were convenient to them and promptly. One person told us. "I have never had a problem making an appointment to suit me". Staff we spoke with confirmed that appointment times were allocated dependent on the type of appointment required. "We don't often have people who are waiting too long to be seen". A person we spoke with said, "I always arrive early for my appointment, so often am waiting but that is my choice. If ever I have had to wait for longer than my expected appointment time, the girls will let me know there is going to be a delay".

We saw that people's histories and treatments were recorded in paper records and on the computer. The records we looked at showed that the dentist made detailed records about the checks they carried out. The dentist used this information to assess what treatment they might give the person. We saw that treatment options were explained and people were provided with a treatment plan. One person said, "I've had to have treatment on a couple of occasions, but the dentist explained everything so I was able to make a decision about the type of treatment I wanted to have". One person told us, "They always ask me to complete a form and to tell them if there are any changes to my health since I last came. The dentist will then discuss what I've recorded in the surgery". Another said, "I've never been asked to discuss personal information in the reception or the waiting room". This meant that records were kept up to date and information was confidential which ensured people received appropriate treatment.

Staff we spoke with explained how they supported the dentist when carrying out treatments, this included when undertaking treatment for those people who required or chose to have intra venous sedation. Dental nurses must receive additional training to be able to support patients safely during this type of sedation, because there are specific checks and monitoring that must be completed. Including the provision of appropriate support and monitoring during recovering. The provider may find it useful to note at the time of our inspection staff told us they had received training from an associate dentist, but were not able to evidence the content of the training they had received. Current professional guidance also expects dental nurses to receive regular updates to their training to ensure they maintain their competency.

There were arrangements in place to deal with foreseeable emergencies. This included the availability of a defibrillator, oxygen and medication for specific medical emergencies. Staff had received training in cardio pulmonary resuscitation (CPR). We saw that the emergency medicines were checked regularly to ensure they had not expired, emergency equipment was also checked to ensure they were in working order.