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Glendair Dental Practice - Alfreton

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Inspection report

Date of Inspection: 19 February 2013
Date of Publication: 22 March 2013
Inspection Report published 22 March 2013 PDF

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 19 February 2013, observed how people were being cared for and talked with people who use the service. We talked with staff.

Our judgement

Patients who receive a dental service from Glendair Dental Practice experienced care, treatment and support that met their needs and protected their rights.

Reasons for our judgement

We discussed the assessment process with both practice manager and a dental nurse, both for new patients and returning patients. We were told that at each visit there was an assessment of the patient’s teeth and gums, and a discussion about the person’s general health. All patients filled in a form giving information about their health, and for returning patients this highlighted any changes in their health status. We were shown a copy of the Denplan Excel ‘your oral health score’ which was used to record patients general dental condition from one appointment to the next. The practice manager explained that patients really liked the score, as it was something they could relate to.

The practice manager showed us examples of the dental records that were used at the practice. The practice has used paper records for many years but had recently got a new computerised system for their records. As a result patient’s records were being transferred to the new computer, with patient’s dental histories being transferred. We saw that both systems identified any particular risks. This would include the risk of excessive bleeding, diabetes or other health problems. The computerised records automatically flagged up any risks when the dentist opened the record. The records also had a chart showing, for example which teeth had been removed, filled or had root canal treatment. This meant that the dentist had a clear idea of the patient’s dental history.

We saw that the dental practice had emergency resuscitation equipment together with the necessary medication for use in any such emergency. We checked the dates of the medication, and saw that all of the medication was still within its ‘use by’ date. One of the emergency drugs is best stored in a refrigerator, as storage at room temperature affects that use by date. A dental nurse showed us that this medication was stored at room temperature and that they were aware of how this affected the use by date.

Discussions with several staff members identified that they knew the location of all of the emergency medication and resuscitation equipment.

A discussion with the practice manager showed that all staff had been trained in resuscitation techniques, and had their training regularly updated and refreshed. This was further evidenced by the training certificates that we saw in the staff training files, and on display on the wall.

The dental practice had a central x-ray room. We saw that the local rules governing the use of x-ray equipment were on display in the x-ray room. It is a requirement that the ‘local rules’ are displayed beside x-ray machines within dental surgeries.

Both of the patients we spoke with said that they were very happy with their dental treatment. One patient told us that: “I have no concerns at all, they always make me feel comfortable and reassured.” A second patient said I’m very happy with everything here. The dentists are all really very good.”

We were shown that the dental practice had a Cerec machine (this stands for Chairside Economical Restoration of Esthetic Ceramics.) This is a machine that will create crowns, veneers, onlays, and inlays from a block of ceramic following computerised scanning of the patient’s teeth by the dentist. The practice manager explained that this meant that the patient received their crown, veneer etc much quicker. This was because they were created while the patient was still in the surgery, thereby speeding up treatment and cutting down on the need for repeated dental appointments.