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Archived: Contemporary Dental

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Inspection report

Date of Inspection: 16 January 2014
Date of Publication: 20 February 2014
Inspection Report published 20 February 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 looked at the personal care or treatment records of people who use the service, carried out a visit on 16 January 2014, observed how people were being cared for and checked how people were cared for at each stage of their treatment and care. We talked with people who use the service, talked with staff and reviewed information given to us by the provider.

Our judgement

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

Reasons for our judgement

Patients’ needs were assessed and care and treatment was planned and delivered in line with their individual care plan. In the seven records we looked at for patients receiving appointments on the day of our inspection, we saw recently completed medical histories for patients and evidence these had been reviewed at regular intervals. Patients told us how the dentist checked with them about whether they were prescribed with health related medication or whether there had been recent changes to any medication they were prescribed. Allergies and other medical concerns were also recorded. This meant care and treatment could be provided safely.

Where patients required treatment following check-up appointments, we saw treatment plans were based on a full mouth assessment. Appointments were made in a timely way and included the length of time required and the number of appointments. Patients told us they understood their treatment plans and what would happen after their appointment because the dentist had explained it to them. For example how to care for their mouth after an extraction or the sensations they might experience once a local anaesthetic wore off. The patients we spoke with reported they were able to get treatment when needed and that if slots were not available at a time that suited them, alternative appointments offered. These meant patients could access treatment when they needed.

We observed the practice of the dental team during the care and treatment of a nervous patient. We saw how the team spent time reassuring the patient before their appointment. When in the surgery the dental team continued their reassurances; explained the process about to be undertaken and constantly checked their wellbeing. When the patient was reassured the procedure commenced. The dentist checked the patient was comfortable throughout, ensured they remained pain free and used dental loupes (A simple, small magnification device worn by the dentist, usually attached to safety glasses) to check the quality of their work. When the procedure had been completed the patient was observed by the dental team to ensure they were fully recovered. The procedure was explained to the patient and what they should do next was explained. The procedure was then recorded in the patient’s notes. This showed patients received care and treatment appropriate to their needs.

There were arrangements in place to deal with foreseeable emergencies. In the staff records we looked at we saw certificates which showed staff were appropriately trained to deal with medical emergencies which might occur within the practice, including dealing with a collapsed patient, and any examples of this happening. We saw the dentist had completed a course in cardiopulmonary resuscitation. Emergency drugs and equipment including oxygen were available to the surgeries and were regularly checked and recorded. However we saw some syringe and needle packs alongside the emergency drugs were beyond their use by date. We pointed this out to the practice manager who arranged for them to be replaced immediately. The provider may wish to note that checks on emergency drugs did not include the equipment to aid its use.