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Inspection report

Date of Inspection: 22 May 2013
Date of Publication: 1 June 2013
Inspection Report published 01 June 2013 PDF | 87.77 KB

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 22 May 2013, observed how people were being cared for and checked how people were cared for at each stage of their treatment and care. We talked with people who use the service, talked with carers and / or family members, talked with staff and received feedback from people using comment cards. We reviewed information given to us by the provider and talked with other authorities.

Our judgement

People experienced care, treatment and support that met their needs and protected their rights.

Reasons for our judgement

All seven people we spoke with told us the practice was comfortable and accommodating to their needs with flexible appointment times, as well as offering emergency appointments when needed. They told us they knew there was an emergency number should they need it.

Parents we spoke with told us their children enjoyed visiting the dentist and had been given good information to encourage dental health and oral hygiene. They told us the dentists had a good understanding of how to meet the needs of children and young people.

We looked at the dental case records for three people who used the service. We saw that at each visit the medical history was updated to ensure any changes in medication were recorded and taken account of in treatment options offered. People confirmed to us the dentist asked them about their medical history and any medication they were taking. We were told that when they attended appointments they were asked to update this information.

We saw that people were given a copy of their treatment plan, including the costs. All seven people we spoke with told us they felt they had enough time and information to make an informed decision about their treatment.

In care records seen for those who had undergone x-ray examination there was a record of the frequency of the x-rays recorded, as well as feedback of the outcome from these images. The treatment plan following discussion was also recorded.

We were told staff were trained in dealing with medical emergencies and saw evidence of this training in personnel records kept. This was confirmed by the staff we spoke with who told us they had received training in first aid and basic life support. The practice had emergency equipment available including oxygen, airways and emergency drugs. The emergency equipment was kept in one of the dental surgeries and accessible by all staff. We were told by staff this equipment was checked regularly in accordance with the recommended guidelines. Records were seen which confirmed this. The provider might like to note there was no specific equipment that was suitable for children as well as adults.

We spoke with four staff who told us the practice had regular meetings, bi-monthly, to discuss practice matters and any other issues or concerns. Staff told us that as a small practice they regularly discussed matters informally if they had any queries or concerns.

Staff we spoke with told us they regularly undertook training to ensure their continuing professional development and maintenance of their skills. This demonstrated they were aware of recent research and guidance and had maintained their skills and knowledge for the benefit of people who used the service.