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Inspection report

Date of Inspection: 20 June 2013
Date of Publication: 19 July 2013
Inspection Report published 19 July 2013 PDF | 84.93 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 20 June 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

Patients told us that their medical history was always discussed at every visit. A detailed health questionnaire was completed at their initial consultation. This was updated at subsequent visits. Patients told us the dental team supported patients with dental anxiety. They were encouraged to inform the dental team of any worries and concerns they might have during treatment and to help the dental team to support patients to cope. One patient told us their "Anxieties were managed considerately and therefore, I know I'll be absolutely fine". Patients said they felt confident and cared for by the dental team because the clinical staff had made sure they knew their current health needs well and that this was taken into account when they received treatment. The patient electronic record system was reviewed alongside the patient's paper records to remind the dental team of individual patient's health needs and any specific concerns. One patient told us the dental team were very detailed in their approach to treatment "Everything was explained and in writing". Patient records showed discussions had taken place with the patient about their treatment. For example, we saw evidence of the explanation of treatment for a child, the involvement of their representative and consent and treatment plans signed.

All the core dental team at the practice were trained in emergency life support. This training was updated annually and we saw certificates on personnel files which confirmed this. The provider had a protocol in place in the reception area to summon the emergency services if required.

There were emergency treatment arrangements including emergency medication and access to oxygen. We saw a monthly audit check of the emergency medication, which ensured staff were aware that the medication was in date. There was an oxygen test record in date until May 2016. Staff had received training in responding to emergencies and this was confirmed by certificates on personnel files.

People were supported by the dental team to promote good oral health. This included being given advice about the correct way to clean their teeth and gums. Advice was also provided about healthy eating so as to avoid foods that are associated with tooth decay.

The practice provided a service to both adults and children. For adults who lacked capacity to make decisions or choices regarding their treatment, the practice encouraged a representative to accompany them. Treatment plans were discussed with the patient and if necessary the patient's representative would be involved in the discussion. We saw evidence of the patient and their representative's involvement in their treatment.