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Inspection report

Date of Inspection: 18 February 2014
Date of Publication: 6 March 2014
Inspection Report published 06 March 2014 PDF

Before people are given any examination, care, treatment or support, they should be asked if they agree to it (outcome 2)

Meeting this standard

We checked that people who use this service

  • Where they are able, give valid consent to the examination, care, treatment and support they receive.
  • Understand and know how to change any decisions about examination, care, treatment and support that has been previously agreed.
  • Can be confident that their human rights are respected and taken into account.

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 18 February 2014, observed how people were being cared for and talked with people who use the service. We talked with staff.

Our judgement

Before people received any care or treatment they were asked for their consent and the provider acted in accordance with their wishes.

Reasons for our judgement

The dental practice mainly provided dental treatments and services for private fee paying people of all ages and some children via the NHS. The practice manager told us they provided dental treatments and services for an average of 25 people per day. There was one full time dentist as well as two hygienists who worked various shifts.

During each visit, all people who received treatment were asked to complete a record form and declaration which included their personal and medical details. During each visit, the dentist updated the person's medical history information.

All people who received treatments were given a paper copy of their treatment plan, which included information about the treatment to be provided and details of fees and charges. People were also required to sign a paper copy of their treatment plan which the practice retained as evidence of their consent to treatment.

The practice manager told us that the treatment options and services available were explained to people prior to receiving treatment, so they could make an informed decision.

The practice manager, who was also a nurse, and the dentist told us they sought verbal consent from people who used the service prior to commencing treatments and that consent to provide treatment to children was obtained from their parents or legal representatives. Where people lacked the capacity to make their own decisions, consent was sought from their representatives.

During the visit, we looked at three peoples' medical records, which showed that staff involved people who use the service and treatments were offered in accordance with peoples' individual needs and preferences. The records we looked at showed that verbal and written consent had been obtained prior to commencing treatment.