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Inspection report

Date of Inspection: 11 April 2013
Date of Publication: 1 May 2013
Inspection Report published 1 May 2013 PDF

Before people are given any examination, care, treatment or support, they should be asked if they agree to it (outcome 2)

Meeting this standard

We checked that people who use this service

  • Where they are able, give valid consent to the examination, care, treatment and support they receive.
  • Understand and know how to change any decisions about examination, care, treatment and support that has been previously agreed.
  • Can be confident that their human rights are respected and taken into account.

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 11 April 2013, observed how people were being cared for and talked with people who use the service. We talked with staff.

Our judgement

Before people received any care or treatment they were asked for their consent and the provider acted in accordance with their wishes.

Reasons for our judgement

Before people received treatment they were asked for their consent and the provider acted in accordance with their wishes. Staff we spoke with told us they used a combination of implied, verbal and written consent. The staff assumed implied consent for the person to be at the surgery and have their dental and oral health checked. Verbal and written consent was gained for any treatment required. The care records we reviewed included signed treatment plans and signed consent forms for payment of the treatment. One person told us, “they explain everything to me.”

Staff we spoke with told us they adjusted the language they used to meet the needs of individuals. This was to ensure people using the service understood what was involved in their treatment and were able to give informed consent. For example, many of the staff at the surgery spoke a second language other than English and they would provide a translation service for people who were unable to understand English. Otherwise, the staff would ensure at the time the appointment was made that people using the service knew to bring someone with them who could translate.

Where people did not have the capacity to consent, the provider acted in accordance with legal requirements. Treatment plans and consent forms were signed by parents/guardians for children who required dental treatment. Staff told us that when working with vulnerable adults they would ensure that a carer was present to consent on behalf of the individual if required. Staff told us that if they felt the person was not able to understand the treatment provided or exhibited behaviour that was too challenging for the staff to manage they would refer the person to the specialist care dentistry team for treatment.