XO Dental

On this page

• Overview
• Assessing needs
• Delivering evidence-based care and treatment
• How staff, teams and services work together
• Supporting people to live healthier lives
• Monitoring and improving outcomes
• Consent to care and treatment

We found this practice was providing effective care in accordance with the relevant regulations and had taken into consideration appropriate guidance.

Find out what we look at when we assess this area in our information about our new Single assessment framework.

The judgement for Assessing needs is based on the latest evidence we assessed for the Effective key question.

The provider had systems to ensure that people who used the service received person-centred care and treatment, that was appropriate, met their needs and was reflective of their personal preferences. Preventive oral health care was encouraged.

Staff kept up-to-date with current evidence-based practice, and had the skills, knowledge and experience to carry out their roles.

We looked at a selection of patient care records. The information recorded in these patient care records was in line with recognised guidance. However, we highlighted the dentists did not always justify and report on the radiographs and CBCT scans. The provider assured this would be addressed.

Staff obtained patients’ consent for treatment in line with legislation and guidance and understood their responsibilities under the Mental Capacity Act 2005. Staff described how they involved patients’ relatives or carers when appropriate and made sure they had enough time to explain treatment options clearly. The practice offered dental implants. Staff obtained full consent, kept detailed records and had access to the appropriate equipment for the placement of implants.

The practice also offered conscious sedation for patients. The systems included checks before and after treatment, and patient monitoring throughout the treatment. However, the provider should implement protocols for conscious sedation, taking into account the guidelines published by The Intercollegiate Advisory Committee for Sedation in Dentistry in the document 'Standards for Conscious Sedation in the Provision of Dental Care 2020’.

The documentation of sedation in patient care records should be improved.

The provider also did not obtain any information about pre-consultation to assess patient suitability before the appointment, additional medical emergency requirements, medicines management, sedation equipment checks, and staff credentials and training from the sedationist. They confirmed this would be discussed and obtained before any further sedation took place.

The practice had systems for prescribing of medicines in line with current guidance. We highlighted clinicians should ensure a justification is documented for antimicrobials.

Where applicable, patients were referred to primary and secondary care specialists for treatment the practice did not provide. This included referring patients with suspected cancer under the national faster diagnosis standard.

Staff felt the practice supported them to develop and enabled them to take on responsibilities.

The judgement for How staff, teams and services work together is based on the latest evidence we assessed for the Effective key question.

The judgement for Supporting people to live healthier lives is based on the latest evidence we assessed for the Effective key question.

The judgement for Monitoring and improving outcomes is based on the latest evidence we assessed for the Effective key question.

The judgement for Consent to care and treatment is based on the latest evidence we assessed for the Effective key question.