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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

The service should have quality checking systems to manage risks and assure the health, welfare and safety of people who receive care (outcome 16)

Meeting this standard

We checked that people who use this service

  • Benefit from safe quality care, treatment and support, due to effective decision making and the management of risks to their health, welfare and safety.

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

The provider had an effective system to regularly assess and monitor the quality of service that people receive.

Reasons for our judgement

We spoke with people using this service but their feedback did not relate to this outcome.

We found that the practice had a system in place which enabled them to regularly assess and monitor the quality of service that people received. We did find however, that responsibility for all audits was with the dentists themselves. The provider may wish to note that staff may find it useful if there were designated leads for different areas for audit purposes.

People were asked for their views about their care and treatment and these were acted upon. Staff told us that they consulted with people on an ongoing basis to gain their views about the treatment and service they received and with ongoing satisfaction surveys. We looked at copies of the completed surveys and found many positive comments about the quality of the service provided. All respondents recorded that they were satisfied with the service they received.

We saw that the practice ensured that training was kept up to date and monitored this through ongoing supervision and a yearly appraisal. We did see that although the practice did have the required policy and procedures in place there was no coherent system for organising and updating these.

We found that audits had been undertaken regarding the quality of and usefulness of x-rays, risk and health and safety issues with regards to the premises and for staff and completion of treatment record cards. However, the provider may wish to note that the current system for managing the practice’s policies and procedures was not robust and there was duplication of documents to be found within different files within the practice.

The monitoring of the quality of the service provided by the practice ensured that people received safe and appropriate care from staff who were appropriately trained.