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Inspection report

Date of Inspection: 9 July 2013
Date of Publication: 20 July 2013
Inspection Report published 20 July 2013 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 9 July 2013, 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

The dental practice provided a service which was accessible by people of all ages, so anyone could attend and seek advice about the services they offered. We spoke with the practice manager, who told us they had approximately 60 to 80 appointments per day across three treatment rooms and the majority of people using the service were from the surrounding areas. The majority of people who used the service received NHS treatments; however some treatments, such as cosmetic treatments, were offered to private fee paying adults.

During each visit, people who use the service were asked to complete a record form and declaration, which included basic information such as the persons’ contact details and a signed declaration to allow access to NHS and private dental treatments. People who use the service also completed a medical history questionnaire during each appointment visit.

The practice manager and lead dental nurse told us that the treatment options and services available were explained to people prior to receiving treatment, so they could make an informed decision. The lead dental nurse told us that they sought written consent from people who use the service prior to commencing treatments and that consent to provide treatment to children was obtained from their parents or legal representatives. Where people lacked the capacity to make their own decisions, consent was sought from their representatives.

During the visit, we looked at five peoples’ medical records, which showed that staff involved people who use the service and treatments were offered in accordance with peoples’ individual needs and preferences. The records we looked at showed that written and verbal consent had been obtained prior to commencing dental treatments by the dentist and recorded clearly in the electronic notes.