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Inspection report

Date of Inspection: 30 January 2013
Date of Publication: 14 March 2013
Inspection Report published 14 March 2013 PDF | 75.34 KB

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 30 January 2013 and 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

We looked at four electronic care records, which included three adults and one child. We saw treatment had been discussed with the patient/and or parent, and consent had been sought. We also saw copies of signed treatment plans for both NHS and private patients. The treatment plans included information about estimated cost, the number of appointments and what treatment was proposed at each appointment.

We saw from our review of the records people had been provided with different treatment options and these had been discussed with the patient. The benefits and risks of treatment or not having treatment had also been explained.

A dental nurse explained the consent process of children under 16 years. They told us that treatment would not be given without the written consent of a parent or legal guardian.

We saw there had been an audit of dental care records to ensure consent was being appropriately recorded.