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Inspection report

Date of Inspection: 10 December 2013
Date of Publication: 11 January 2014
Inspection Report published 11 January 2014 PDF

The service should have quality checking systems to manage risks and assure the health, welfare and safety of people who receive care (outcome 16)

Meeting this standard

We checked that people who use this service

  • Benefit from safe quality care, treatment and support, due to effective decision making and the management of risks to their health, welfare and safety.

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 10 December 2013, talked with people who use the service and talked with staff.

Our judgement

The provider had an effective system in place to identify, assess and manage risks to the health, safety and welfare of people using the service and others.

Reasons for our judgement

We looked at the procedures in place for monitoring the quality of the service provided. We saw that there were systems in place to ensure the physical safety of the building. For example, we saw a certificate of examination in relation to the radiological equipment. PAT (Portable Appliance Testing) had been carried out to ensure the safety of electrical items and we saw that fire safety equipment had been checked to ensure that it was working efficiently.

There was a complaints procedure in place so that people who used the service were able to raise issues of concern. The complaints policy identified the person responsible and the timescales in which they would answer people's concerns. It also identified the other agencies that could be contacted if the complaint wasn't resolved by the practice.

We were told that each year, patient feedback questionnaires were used with a newly qualified dentist. However, the provider might find it useful to note that there weren't any procedures in place for gathering feedback more generally about the service provided.

Some audits took place to monitor quality within the practice. For example, we saw a radiograph audit which looked at the quality of images produced and whether they were clinically acceptable. This would help ensure that any problems, in relation to the quality of images would be identified. An audit of infection control also took place in order to monitor whether the processes in place for decontamination of dental instruments was meeting the requirements of the HTM.