Browns Dental Surgery

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• 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.

Although there are issues to be addressed, the impact of our concerns relates to the governance and oversight of the risks, rather than effective patient care.

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.

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. Preventive oral health care was encouraged.

Staff had the skills, knowledge and experience to carry out their roles. However, improvements were required. We signposted the clinicians to updated guidance from the British Society of Periodontology to support them to ensure patients assessments are carried out and documented in line with this.

We looked at 22 patient care records. We saw evidence the dentists justified, graded and reported on some of the radiographs they took. However, we saw no evidence that the practice was reviewing preoperative radiographs for advanced restorative treatment.

We saw no evidence that airway protection was being used in line with guidance. We suggested the practice review the use of airway protection.

Improvements were required with consent for treatment in line with legislation and guidance. In particular, clinical records lacked information around consent and treatment options for patients.

The practice had systems for prescribing of medicines. However, we discussed the importance of reviewing the processes for justification when prescribing antibiotics.

Antimicrobial prescribing audits were carried out.

Patients were referred to primary and secondary care specialists for treatment the practice did not provide. This included referring patients with suspected cancer under the national faster diagnosis pathways.

Staff felt the practice supported them to develop and enabled them to take on responsibilities.

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.