You are here

Mydentist - Walton Road - West Molesey Also known as mydentist

All reports

Inspection report

Date of Inspection: 21 January 2014
Date of Publication: 14 February 2014
Inspection Report published 14 February 2014 PDF

Before people are given any examination, care, treatment or support, they should be asked if they agree to it (outcome 2)

Meeting this standard

We checked that people who use this service

  • Where they are able, give valid consent to the examination, care, treatment and support they receive.
  • Understand and know how to change any decisions about examination, care, treatment and support that has been previously agreed.
  • Can be confident that their human rights are respected and taken into account.

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 21 January 2014, observed how people were being cared for and talked with people who use the service. We talked with staff.

Our judgement

Before people received any care or treatment they were asked for their consent and the provider acted in accordance with their wishes.

Reasons for our judgement

Before people received any care or treatment they were asked for their consent and the provider acted in accordance with their wishes.

All of the patients that we spoke with and the survey responses received told us that staff at the practice asked for their consent before any treatment was given. One patient told us “Everything is explained and I can ask questions.” The staff that we spoke with told us that they discussed any potential treatment with patients to help them understand before they asked them for their consent. We were told “It is a two way communication between me and the patient and I will reiterate the information if necessary to ensure a patient understands.” We observed one patient who received treatment and saw that staff explained to them what they were about to do and checked their consent regularly. We looked at a sample of patient records and saw that patients had signed treatment plans to consent to treatment. This meant that before people received any treatment they were asked for their consent.

We asked staff how they gained consent where people lacked capacity. We were told that staff had received training in the Mental Capacity Act (MCA). We noted that an easy to read version of the MCA was available to staff on their notice board. Staff that we spoke with told us of different ways they ensured a patient fully understood what treatment they needed, for example they used models or pictures. We saw an example of a patient who had a hearing impairment and noted that the dental practitioner and the patient had a conversation by writing things down. The dentist we spoke with told us they used a mirror all the time to aid a patient’s understanding as they could show a patient the inside of their mouth. Staff also told us they could refer a patient to the Special Care Dental Service. This had specialist practitioners trained to treat patients who had a learning disability or who lacked capacity. This showed us the provider had processes in place for those who lacked capacity. It also meant that patients were given additional information or visual prompts to help them with their understanding.

Staff showed us a poster which contained information on language assistance. This was written in several different languages and gave telephone numbers for staff to access an interpreter. This showed us that staff had a process in place which ensured that a patient’s diversity was respected.

We saw that the costs for NHS treatments were displayed in the waiting area and saw they (as well as information about private treatments) were also available on the practice website. This indicated the provider had ensured patients were aware of any costs before they consented to treatment.