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Pinhoe Dental Centre Limited

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Inspection report

Date of Inspection: 31 October 2013
Date of Publication: 7 January 2014
Inspection Report published 07 January 2014 PDF | 89.19 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 31 October 2013, observed how people were being cared for and checked how people were cared for at each stage of their treatment and care. We sent a questionnaire to people who use the service, talked with people who use the service, talked with staff and reviewed information given to us by the provider.

Our judgement

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

Reasons for our judgement

People’s needs were assessed and care and treatment was planned and delivered in line with their individual care plan. In the six patient records we looked at we saw treatment plans were based on full mouth assessments. The plans indicated the number of visits and the length of time between visits. Where NHS and private treatment was received the treatments were separately detailed, costs were made clear and patients had signed their treatment plans. Patients told us they understood their treatment plans and what would happen after their appointments. One patient we spoke with told us, “I know I have three return visits for the treatment, after that I’ll be able to eat more easily. I’ll need a check-up every six months after that”. Other patients made similar comments. This meant patients understood about the treatment they received and had clear treatment plans.

We saw how medical histories and risk assessments for patients were routinely reviewed at check-up appointments. The patients we spoke with told us how they completed forms about their health when signing up to the practice and how the dentists checked this before each examination took place. We saw this information was recorded in each patient’s dental record and showed regular updates took place. However, the provider may like to note that although records were now up to date, half the records we looked at showed that updating medical histories was poor prior to 2013.

Care and treatment was planned and delivered in a way that was intended to ensure people's safety and welfare. Information was provided in the waiting room about when it was not appropriate to provide treatment, for example where patients were unwell or who had cold sores. Where adverse events occurred we saw the incident had been investigated, and recommendations had been implemented to ensure improved procedures were followed in future.

The patients we spoke with told us they were able to get treatment when they needed it. We saw that emergency appointment slots were available each day and saw how these slots were booked and treatment was provided to those patients needing urgent support. Where support was needed for oral hygiene we saw how patients were referred to the dental hygienist. We saw from records how the hygienist advised and supported patients to improve their oral health. One family we spoke with told us, “They even put on an extra family session in oral care”. This showed how the dental team planned and delivered treatment in a way which was intended to ensure patient's safety and welfare.

The registered manager told us the practice was a registered teaching school for dental nurses. We saw they had a library of resources available to inform dental care and support. Patients care and treatment reflected relevant research and guidance. The dentists we spoke with were aware of recent updates to clinical guidance from the Royal College of Surgeons England Faculty of Dental Surgery, the General Dental Council and from the National Institute for Clinical Excellence. We saw how this information was shared electronically and during staff meetings.

There were arrangements in place to deal with foreseeable emergencies. We saw records which showed staff were appropriately trained to deal with medical emergencies that might occur within the practice, including dealing with a collapsed patient. The accident book showed that incidents were responded to according to guidance and that patients were supported safely. The staff training records we looked at provided evidence of cardiopulmonary resuscitation training for all registered dental professionals. Emergency drugs and equipment, including oxygen, were regularly checked and recorded and were available to all surgeries that were in use. We saw how staff had key responsibilities in all aspects of the practice including one person who was appointed for first aid.