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Inspection report

Date of Inspection: 10 December 2013
Date of Publication: 24 December 2013
Inspection Report published 24 December 2013 PDF | 79.79 KB

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 December 2013, 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, talked with carers and / or family members and talked with staff.

Our judgement

Care and treatment was planned and delivered in a way that was intended to ensure people's safety and welfare.

Reasons for our judgement

Through a process called 'pathway tracking' we looked at two people’s care records. We also spoke with these people and with the staff about how they provided support to those people. Pathway tracking looks at the experiences of a sample of people. This is done by following a person's route through the service to see if their needs were being met. We saw that the care, treatment or support offered was discussed with each person in a polite and unhurried manner.

As part of our inspection, and with consent from the people using the service, we observed the dental treatment for three adults and two children. We were able to make these observations in respect of both dentists who were working at the practice. We saw oral care advice was given as part of people’s consultation or treatment. The frequency of check-ups and follow up treatment was based on people’s on-going dental needs and we saw this differed dependant on their treatment plan. The records we reviewed showed evidence of recall for check-ups and treatments based on people’s individual needs and treatment plan. People we spoke with told us they were satisfied with the frequency of visits. We saw people were made comfortable and staff informed them of what was happening. We saw that staff carried out suitable infection control procedures to reduce any risk of infection. Staff spoke with the people throughout their treatment to make sure they were comfortable and understood what was being done. One person said, “It’s brilliant, she talks me through what's going on. For a recent filling it was the best injection I’ve ever had, no pain. For any work needed I have seen the X- ray on a screen and she told me what would happen, I was fully informed which was a whole new experience for me.” This showed that people using the service were involved in their treatment and care.

We saw the staff spoke to the children in a way they could understand. One person we spoke with confirmed the staff were really good at making their children comfortable and we spoke with one child who told us they were not scared of coming to see the dentist. The dentist engaged with the child and the guardian to ensure that they were involved as much as possible. This meant treatment and support was offered on an individualised basis and according to need.

We found that people’s medical history was taken prior to them starting treatment and this was reviewed and updated if required during each treatment visit. Records showed that people had a full mouth chart and initial x-ray taken so that the dentist had a complete and accurate understanding of the person’s dental health. We heard dental staff discuss this with people during their visit. This meant people were suitably supported and offered clear information about their treatment options. One person told us, “I just thought they would take my tooth out as it was the easy option. They worked really hard to save my tooth and they have. I had all the work needed at no extra cost; I was delighted with the result.” This meant people’s individual needs were fully considered.

We saw care records were written electronically in a clear, concise and detailed way. They included information about treatment plans, advice that was given by the dentist on diet and lifestyle that may affect oral health and consent to treatment. Health needs and medications were updated at each visit, as well as any changes to their mouth charts. A person that we spoke with said “They always check my medication or health needs haven’t changed I have to sign to confirm this on every visit.” This meant people received care and support that met their individual needs.

We saw there were arrangements in place to deal with foreseeable emergencies. All the staff had up to date training to enable them to deal with medical emergencies. We saw there were medicines to be used should they be required. We saw the provider had followed the current General Dental Council guidance recommending th