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Inspection report

Date of Inspection: 14 March 2013
Date of Publication: 12 April 2013
Inspection Report published 12 April 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 14 March 2013, observed how people were being cared for and talked with people who use the service. We talked with staff.

Our judgement

People experienced care, treatment and support that met their needs and protected their rights.

Reasons for our judgement

The practice staff discussed with us how they assessed people for treatment. We found that all people accessing the service received an initial assessment in which their medical history was obtained and these records were kept on file. The people we spoke with confirmed this. We saw that were sample dental products available in the practice for people to try if they wanted to or if recommended by the dental staff.

We saw that people's records were held in a paper format and contained details of people's treatment options and treatment plans. Both of the people we spoke with told us that staff always asked for consent before they undertook any treatment or procedure. They also confirmed that the dentist always checked their medical history at the start of any treatment plans and examination of 13 treatment records, with people’s consent, supported this.

There were 52 responses within the practice’s ongoing satisfaction survey. All of these confirmed that the dentist explained all treatment options to them. There was also strong agreement that staff were “very professional”. When we spoke with one person attending the practice for treatment they told us; “It is a warm and friendly practice. I have been coming to the practice for about 21 years. I find the dentist very gentle.”

There were three dental treatment rooms in the practice. The practice is situated in a listed building. Due to the age and the design of the practice disabled access was restricted. The provider should note that information should be made available to inform people of the restricted mobility access.

The practice had appropriate equipment to support people in the event of a medical emergency. The service had an emergency drugs kit and oxygen available for emergency use. There were records of the emergency oxygen cylinder being checked to ensure that it was in working order and that there was a sufficient level of oxygen available. The emergency drugs were readily available and stored with the emergency first aid kit and records indicated that these had also been regularly checked. We saw that the staff at the practice had received training in dental medical emergencies and basic life support.

For out of hours treatment the practice had an agreement with a group of locally based dentists to maintain an emergency rota to cover weekends and used the local NHS emergency service for evening or night emergencies. Details of the emergency cover were available on the practice’s telephone answer machine. The practice also held emergency appointment times on the days when they were open. One person we spoke with told us; “It is always very easy to get an initial appointment and follow up treatments.”

We were told, and the records indicated, that one of the dentists acted as responsible persons for the use of x-rays (radiation protection supervisor). We saw that there was a report for the current year that demonstrated compliance with radiological safety and local rules were in place for each x-ray machine. Only individuals who were trained in line with the requirements of the Ionising Radiation (Medical Exposure) Regulations 2000 took radiographs. All radiographic equipment was tested and certified three yearly. The practice employed an external accredited company for radiological advice.