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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 be protected from abuse and staff should respect their human rights (outcome 7)

Meeting this standard

We checked that people who use this service

  • Are protected from abuse, or the risk of abuse, and their human rights are respected and upheld.

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

People who use the service were protected from the risk of abuse, because the provider had taken reasonable steps to identify the possibility of abuse and prevent abuse from happening.

Reasons for our judgement

We saw that the practice had policies giving guidance to staff on protecting children and safeguarding vulnerable adults from abuse. We saw certificates showing that most staff had received training that prepared them to recognise different types of abuse and to know how to respond. Training had included dental neglect, domestic violence and scenarios had been used to help staff understand the relevance to their own work. Not all staff had yet undertaken training but had registered for e-learning. Staff showed us that they had taken advice from the local authority safeguarding team and obtained training materials suitable for this purpose.

Staff told us of the types of unexplained bruises that would raise their concerns. They said that they talked informally with patients and considered that people would be able to share anxieties with them. One staff member said, “We know our children” so would notice if they were acting in a different way from what was normal for them.

We saw flow charts designed to help staff make decisions about how to respond and when to raise an alert. We saw that the practice had contact details so that staff would know who they should discuss concerns with.

The dentist told us of situations when a person’s capacity to understand and make decisions had been assessed. One person with a learning disability who was being supported by their carers to develop their skills of independent living was able to attend for examination unaccompanied. However, a carer attended to check the medical history, as the person may not have achieved accurate answers. This person needed to be referred to hospital for treatment and was able to give informed consent but needed support with financial decisions. This showed that the practice responded appropriately with the support people needed.

We saw that the proper checks had been made when staff were recruited to work at this practice. We saw that checks made by the Criminal Records Bureau (CRB) were on file, along with written references from previous employers. Proof of ID and checks on registration had been made. These checks were made so the registered manager could be sure that staff were suitable to work with vulnerable people.