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Inspection report

Date of Inspection: 8 February 2013
Date of Publication: 6 March 2013
Inspection Report published 6 March 2013 PDF | 82.09 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 8 February 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 and reviewed information sent to us by commissioners of services.

Our judgement

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

Reasons for our judgement

We spoke with six people who used the service. Everyone said they were very happy with their care and treatment. One person said, “My dentist is brilliant and puts me at ease, I have total faith in the man”. Another person said, “The dentistry is excellent. I trust my dentist’s judgement implicitly”.

People’s needs were assessed and treatment was planned and delivered in line with their individual needs. We saw that people's treatment was recorded in their electronic notes to provide a record of the care they had received. When we spoke to the principal dentist they described speaking with people about their treatment and making sure it was suitable for the person concerned. People who used the service said they felt able to ask their dentist questions about any aspects of their treatment.

People considered their check ups were thorough and included soft tissue and oral health checks. This was reflected in the records we sampled. Where diagnostic tests such as radiographs (X-rays) had been carried out, we saw the records stated the reason for this.

People told us they had completed a medical questionnaire and were asked at each appointment if there had been any changes to their health. This ensured dental staff had up to date information about them and were aware of any medical conditions.

People confirmed they were offered a copy of their treatment plan and were made aware of costs prior to treatment. People confirmed that the risks and benefits of treatment were fully explained to them. We saw a dentist had sought a second opinion from a hospital consultant for a person requiring complex treatment. The person had been provided with a number of options and gone ahead with the treatment they desired. Records were detailed and reflected all treatment carried out. The person told us the dentist gave them, “Step by step guidance and reassurance” and said they were “Very happy” with the outcome of their treatment.

There were arrangements in place to deal with foreseeable medical emergencies. This included the availability of medication, oxygen and a defibrillator. Staff confirmed they had received training in basic life support to equip them with the skills and knowledge to deal with a medical emergency.