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Inspection report

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

People should be protected from abuse and staff should respect their human rights (outcome 7)

Meeting this standard

We checked that people who use this service

  • Are protected from abuse, or the risk of abuse, and their human rights are respected and upheld.

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

People who use the service were protected from the risk of abuse, because the provider had taken reasonable steps to identify the possibility of abuse and prevent abuse from happening.

Reasons for our judgement

We looked at the policy for protecting children and safeguarding vulnerable adults. It provided clear guidance for staff on identifying people who might be vulnerable. The practice undertook to share any concerns, undertake Criminal Record Bureau (CRB) checks of staff, provide effective management and create and maintain comprehensive and accurate records. There was good information including flow charts showing staff what action they should take in various circumstances. Scenarios were described, giving examples of what might be seen, showing the relevance for dentistry and encouraging discussion.

Contact numbers for both Devon and Cornwall were provided. This was significant because the practice is in Devon but close to the border with Cornwall so any disclosure or allegation could be about abuse taking place in either county.

One of the dentists had been appointed senior designated person and a senior nurse was appointed as deputy, showing the intention of the practice to provide effective leadership in this area. We saw certificates which showed that all but the two most recently appointed staff had been provided with training.

We saw that CRB clearances had been obtained for all staff. An application had been made for a recently appointed staff member. Standard clearances were obtained for staff who worked in reception and in decontamination work, and enhanced for qualified staff. This showed that the practice made sure that staff were suitable to work with vulnerable people.

The senior designated person told us that they had not yet needed to make an alert or referral. Staff spoke to us of their experience and how they were able to observe children and adults in the course of their work. Staff were able to tell us what signs of abuse they might see. A dentist told us that people with special needs came to the practice from nearby care homes. “We tailor the treatment plan to their needs, straight forward treatment to make people comfortable.” Dentists and staff knew where to go if they needed advice.

A copy of the Mental Capacity Act 2005 was available for staff to consult as well as a code of practice. A flow chart was provided to help staff decide on the action to take if they found a person lacked capacity to make a decision about their own treatment. One dentist told us, “All the patients I have seen here have been able to understand and give informed consent.” Others had received good support from carers to help the person understand their own treatment needs.