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Inspection report

Date of Inspection: 17 February 2014
Date of Publication: 18 March 2014
Inspection Report published 18 March 2014 PDF | 86.92 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 17 February 2014, observed how people were being cared for and talked with people who use the service. We talked with staff.

Our judgement

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

Reasons for our judgement

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

We spoke with four patients. They told us they were very happy with the care and treatment they had received. One patient said, “I’ve been very happy with what I’ve had.” Another patient said, “I also feel we always get the best in terms of treatment and advice.” Another patient said, “He’s [the dentist has] done an amazing job.”

Patients told us the dentist provided oral health advice. They also told us they did not have to wait long for appointments. One patient said, “It’s at my convenience really.” Another patient told us they had been seen very quickly by the dentist when an urgent appointment had been needed and said it was an “Amazing service. I’m so pleased.” Another patient said, “It is fantastic” regarding the appointment system. Patients also told us they received reminders about appointments.

We observed two consultations in the treatment room with the permission of the two young patients and their parent. We saw that the dentist gathered information from the patients and family member. They completed examinations and provided clear information about what they were doing and planning to do. We also saw they provided oral health advice to assist patients to maintain healthy teeth and they updated the records about the patients.

We spoke with the dentist about the care and treatment they provided and they provided appropriate information. They showed us the care and treatment records for three patients and explained what actions they had taken. We saw that the records kept were clear and detailed and included information about the checks completed, risks and treatments. This meant appropriate records were kept about patients' care and treatment.

The dentist also told us that they provided oral health advice to patients. They showed us an example of an animated educational video they used to demonstrate to patients on the screen in the treatment room about how to brush their teeth. Videos were also available to show patients what different treatments would involve.

We discussed the appointment system with the dentist. They told us appointments with the dentist were available five days a week and emergency slots were available on these days. The practice had also recently started to open on Saturdays for patients to attend hygienist appointments.

The dentist told us patients were provided with information on the answer machine message for the practice if they needed to access an emergency dentist appointment outside the usual opening times. The message included the NHS 111 telephone number and the details for another practice and the Nottingham Emergency Dental Service. This meant patients were provided with information about where they could access a dental service in an emergency when the practice was closed.

We also asked the dentist how often patients visited the practice. They told us the frequency of appointments for individual patients was determined by people’s individual needs and the risks. They told us they acted in accordance with NICE guidelines (National Institute for Health and Care Excellence) regarding dental recall. This meant they had systems in place that followed clinical guidelines.

Staff told us that emergency drugs and oxygen were available and we saw they were present and checked each week. Staff told us they were trained to use these and we saw training certificates. We also saw that the practice had a medical emergency protocol. This meant systems were in place to protect patients in an emergency. A defibrillator was not available in the practice at the time of our visit. However, the dentist told us they had plans to purchase one.

We saw that the practice had a policy about the Mental Capacity Act 2005 (MCA). The MCA protects adults who lack capacity to make a decision for themselves because of permanent or temporary problems such as mental illness, brain injury or le