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Inspection report

Date of Inspection: 17 September 2013
Date of Publication: 15 October 2013
Inspection Report published 15 October 2013 PDF

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 17 September 2013, talked with people who use the service and talked with carers and / or family members. We talked with staff and reviewed information given to us by the provider.

Our judgement

Care and treatment was planned and delivered in a way that would ensure people's safety and welfare.

Reasons for our judgement

People who used the service told us they were very pleased with the care they received. One person said, “The care the dentist gives is excellent. I had a problem recently and have found she really looked after me.” Another person said, “I had an extraction, and staff phoned the next day to see how I was.” One person told us they had observed the dentist support a frail person after their treatment. “She (the dentist) brought them out and waited with them until their relative arrived.”

The practice offered alternate Saturday appointments and evenings on Thursdays. Staff told us they would stay open for emergencies if necessary. This was confirmed by a person who used the service who was pleased to tell us, “If you have a problem, she (the dentist) will fit you in the same day, even at 7:30pm.”

Staff told us that they checked that people’s medical histories were kept up to date, to ensure that they would be given treatment that was suitable for them. People who spoke to us confirmed this; “Every time I go they ask about changes to my medical history.”

The dentist told us and showed us patient records showing that she started each examination with the soft tissues of the mouth. She had purchased equipment to enable her to identify problem tissue and pick up earlier on potential health problems. She told us that when referring a patient to a consultant she attached an image to clarify the problem.

One person who spoke to us was impressed that the dentist offered the choice of being referred to another dentist for complex treatment. “When I needed more treatment, she said that because of the nature of my teeth she recommended me to go to a specialist. She said that she could do the work but because of the complexity it might be advisable to go to the practitioner with more specialist experience. I was given the choice.” This person considered that the dentist was working their best interests.

We saw certificates showing that staff were trained in emergency life support including use of the defibrillator. The practice had obtained a defibrillator as recommended by the Resuscitation Council UK. Staff showed us the emergency medicines and the records of the daily checks they made of the equipment and the expiry dates of medication. We saw there was a first aid kit and that staff had been trained in emergency first aid. The dentist described how she made sure that staff had practice in using equipment so that they were well prepared to deal with foreseeable emergencies.

We found that the practice had systems in place to maintain safety while taking X-rays.