You are here

All reports

Inspection report

Date of Inspection: 19 January 2012
Date of Publication: 13 March 2012
Inspection Report published 13 March 2012 PDF

People's personal records, including medical records, should be accurate and kept safe and confidential (outcome 21)

Meeting this standard

We checked that people who use this service

  • Their personal records including medical records are accurate, fit for purpose, held securely and remain confidential.
  • Other records required to be kept to protect their safety and well being are maintained and held securely where required.

How this check was done

Our judgement

Overall the provider was meeting this outcome and was ensuring that people could be confident that their personal records including medical records were accurate, fit for purpose, held securely and remain confidential.

User experience

We did not speak to people who used the service about this outcome.

Other evidence

Policies and procedures were in place for the protection and safe keeping of personal and other records to protect the person using the service. The staff handbook included information that staff had to adhere to including confidentiality and Data Protection. Staff said they had to adhere to GDC (General Dental Council) guidance on confidentiality.

The service had clear procedures that were followed in practice, monitored and reviewed. For example while the person was still in the surgery the dentist updated their individual record following treatment.

There were two types of records within the practice examples seen included paper records - medical histories, consent to treatment form, staff personnel records, quality assurance reports and audits, minutes of meetings, invoices and health and safety maintenance records.

Electronic records were password protected. Each member of staff had access only to their role and department within the practice they worked.

On looking round the practice we saw that records were maintained securely within a locked facility in a locked room. A contract is in place with a service provider for archiving of records.