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Inspection report

Date of Inspection: 10 February 2014
Date of Publication: 7 March 2014
Inspection Report published 07 March 2014 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 10 February 2014, observed how people were being cared for and checked how people were cared for at each stage of their treatment and care. We talked with people who use the service and talked with staff.

Our judgement

Treatment was planned and delivered in way that was intended to ensure patient's safety and welfare.

Reasons for our judgement

Patient's needs were assessed and treatment was planned and delivered in line with their individual treatment plan.

Reception staff explained that new patients were given a medical history form to complete as well as the registration form. This information was then typed onto a computer record for each patient and the paper copies were shredded. The dentist confirmed the information was correct when they reviewed the information with the patient on each visit. We saw that the dentist was made aware of any medical conditions or allergies that could affect patient care and treatment. This was done with alerts that flashed up on the computer system.

We spoke with the dentist who explained that after speaking with the patient and going through the medical history form they completed a full mouth assessment of the patient. They then discussed their findings and the various treatment options available. A treatment plan was then completed with the input of the patient. We spoke with two patients who confirmed that this happened on each visit.

With permission from the patients, we observed two treatment sessions. During both sessions the dentist asked if there had been any changes in the medical history and also asked if there were any concerns or issues since the last visit. We observed the dental nurse update the records accordingly. We saw that a full mouth assessment took place and the findings were discussed with each patient. The patients were free to ask any questions they wished. The dentist gave explanations in terms that a person without relevant medical knowledge would understand.

Treatment was carried out with consent from the patient and we heard the dentist continually reassure the patient throughout the treatment session. One of the patients said, "I am very happy with the treatment", whilst the other patient said, "It's excellent service".

We saw evidence that showed that records of the mouth assessment and treatment plan were stored electronically and given to the patients in writing. One patient said, "I know and understand what's in my plan".

There were arrangements in place to deal with foreseeable emergencies. Emergency contact details were displayed in waiting areas, on the website and on a recorded message when patients phoned the practice. We saw that there was dedicated space in the appointment diary every day for dental emergencies.

We saw certificates that showed that all of the staff had completed training in cardiopulmonary resuscitation (CPR), using the automated external defibrillator (AED) and dealing with medical emergencies. We examined the staff training files which confirmed this course was completed on 1 October 2013.

We examined the emergency drugs kit and found that all of the products in the kit were in date. There was emergency oxygen and an AED present. Records showed that regular checks were carried out on all of the emergency equipment to ensure that it was all present, in date and working correctly.

We saw that fire evacuation signs were displayed around the building. This ensured that people could evacuate the building safely in the event of an emergency.