You are here

All reports

Inspection report

Date of Inspection: 30 September 2013
Date of Publication: 1 November 2013
Inspection Report published 01 November 2013 PDF

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 30 September 2013, talked with people who use the service and talked with carers and / or family members. We talked with staff and reviewed information given to us by the provider.

Our judgement

Care and treatment was planned and delivered in a way that would ensure people's safety and welfare.

Reasons for our judgement

People who spoke with us were pleased with the care they had received. One person said, “They are very, very good. I am squeamish and suffer from a needle phobia. The dentist had a light hand and was very professional. I had to have a very big lower tooth removed. The dentist was very patient and professional and recommended I come early in the day because of my anxiety.” Another person told us, “I have been going to Lynbridge for many years. I have never had any trouble. I had root canal treatment, they helped me manage the pain.” One person said they had found it to be “an excellent service. My dentist took me through what they thought was necessary and was very proactive, which was what I wanted.”

People were pleased to tell us of times when they had been helped in emergencies. One person’s relative had met with an accident and broken some front teeth. They told us, “The dentist dealt with us there and then, and helped with the insurance claim. They were really brilliant on that occasion.” Another person told us of when they needed emergency treatment when they were due to catch a plane. “The dentist came in at the weekend. I was given good care.” NHS patients were directed to the Access Centre when they needed out of hours treatment.

One person told us, “They asked about my general health. The dentist was very thorough, I was more than happy with my initial examination. I was given information not provided by a previous practitioner.” We spoke with a dental nurse who showed us the patient records kept on the computer system. We saw that a person’s medical history, which included their current medication, was checked prior to treatment beginning. We saw contemporaneous notes made by the dentist at each visit the person had made. The notes detailed all treatment they had received and included a treatment plan for the future.

We asked a dentist about the recall policy, that is, how soon people are asked to attend for a follow up examination. They told us this was based on individual risk assessment, following guidelines set out by the National Institute for Health and Care Excellence (NICE). This included inviting children to come in regularly to help them get accustomed to the clinic.

We saw that staff were trained and equipped to deal with medical emergencies. We saw certificates showing that staff were trained in emergency life support including use of the defibrillator. The practice had obtained a defibrillator as recommended by the Resuscitation Council UK. Staff showed us the emergency medicines and the records of the daily checks they made of the equipment and the expiry dates of medication. We saw there was a first aid kit. Staff told us that the qualified first aider was not on duty that day. The provider may like to note that there should be a first aider available at all times.

We visited the x ray room on the first floor of the building. The room was clean and well ordered. The dentist described the process which was followed when a person needed to be x rayed. This included good infection control practices. We were told that once an image had been taken it could then be seen by the dentist in the treatment room almost immediately. The dentist told us they included an image when making a referral to a consultant as it was helpful in making clear the problem needing treatment.

The practice had an OPG X-ray machine, which stands for orthopantogram. This machine gives a panoramic view of the mandible and teeth. A dentist told us this was useful also for people who could not understand or tolerate a bitewing film in their mouth. This showed how equipment was well used to provide appropriate treatment for people.