You are here

All reports

Inspection report

Date of Inspection: 13, 19 August 2014
Date of Publication: 9 October 2014
Inspection Report published 09 October 2014 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 carried out a visit on 13 August 2014 and 19 August 2014, talked with people who use the service, talked with staff and talked with other regulators or the Department of Health. We were accompanied by a specialist advisor.

Our judgement

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

Reasons for our judgement

On our previous inspection we found the provider was not meeting this standard

We carried out a responsive follow up visit and found that the provider had carried out a number of improvements to comply with the regulations these included;

Clinical Record Keeping:

Patients' needs were assessed and care and treatment was planned and delivered in line with their individual care plan. We looked at a sample of nine treatment records. All of the records showed that a written medical history had been recorded. The sample of records also contained where appropriate details of the condition of the gums and soft tissues lining the mouth. These were carried out at each dental health assessment. This meant that the patient was made aware of changes in their oral condition. Generally the records showed a good level of clinical detail with a recognised structure to the assessment of a patient. We saw a particularly good example where a patient had suffered an alleged assault. The records contain a high level of detail with respect to the damage to the facial soft tissues and the internal structures of the mouth. This was a good example of risk management from a medico-legal point of view. Where restorative treatment had been carried out under local anaesthesia the type, batch number and expiry date of the anaesthetic along with the site of injection was always recorded.

Dental Radiography:

We were shown a radiation protection file. This file contained the necessary documentation pertaining to the maintenance of the x-ray equipment. These included a for the x-ray set. A copy of the local rules was also available for inspection. A sample of clinical records showed when each x-ray was taken it was justified and reported, the x-ray also was quality assessed and the grading recorded. A recent radiology audit was available for inspection which was carried out in June 2014. This audit contained a break-down of the 3 grades used as part of the standard quality assurance system used in dental radiography. This meant that the practice was acting in accordance with national radiological guidelines. The provider utilised the skills of an extended duty dental nurse for the taking of dental radiographs which is a good example of skill mix within the practice. The measures described meant that patients and staff were protected from unnecessary exposure to radiation.

Waste Control:

The segregation and storage of dental waste was in line with current guidelines laid down by the Department of Health. The practice uses an appropriate contractor to remove dental waste from the practice. Clinical waste was stored prior to collection in an appropriate area. Clinical waste bags were housed in foot operated bins in all but one of the locations within the practice. The provider may wish to note that the bin in the decontamination area should be replaced as part of the upgrading schedule of this part of the practice.

Dealing with Medical Emergencies in the Dental Chair:

There were arrangements in place to deal with foreseeable emergencies. There was a range of suitable equipment including an Automated External Defibrillator, emergency drugs and oxygen available for dealing with medical emergencies. This was this was in line with the Resuscitation UK guidelines. The emergency drugs were all in date and the drugs were securely kept along with emergency oxygen in a central location known to all staff. This meant that the risk to patients' during dental procedures was reduced and patients were treated in a safe and secure way.