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Inspection report

Date of Inspection: 1 August 2013
Date of Publication: 4 September 2013
Inspection Report published 04 September 2013 PDF | 74.71 KB

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 1 August 2013, talked with people who use the service and talked with staff.

Our judgement

People experienced treatment that met their needs and protected their rights.

Reasons for our judgement

We looked at the paper dental records of four people who used the service. We saw that a medical history form was completed when people arrived for their first appointment. We saw that adults were asked to review, update if required and sign the form every six months. We saw that children had their medical history checked at every appointment. The dentist told us that they checked the medical history forms and we saw that these had also been signed by the dentist. This meant the risk of people receiving unsafe or inappropriate care was reduced.

We looked at three electronic dental records which recorded what happened during a routine check-up and treatment offered and given. We saw that a routine check-up included the following examinations; extra oral, intra oral and temporomandibular joint (TMJ). The dentist told us they would discuss with patients what treatment was required, if any, including options for the treatment and costs. We were told that people were given copies of their treatment plans to take home with them. On some occassions people chose to have their treatment during the same appointment, others were able to book an appointment for the treatment they agreed to at a convenient time to them. We found that people’s needs were assessed and the planning and delivery of treatment met individual’s needs.

We found the practice offered emergency appointments during normal working hours. We saw that an hour was blocked out just prior to lunch each day to allow emergency appointments to be made. This meant if the appointment needed to be longer then the lunch hour could be used. The receptionist also told us that cancelled appointments could be used to book in emergency appointments if required and that a cancellation book was kept. One person we spoke with told us, “I fell and broke my front tooth recently and got an emergency appointment straight away and got it fixed.” This ensured that people’s needs could be met effectively and in a timely manner.

We found the practice maintained a stock of emergency drugs and that monthly checks were undertaken on stock levels and expiry dates. We found the practice had an emergency defibrillator and oxygen and that monthly checks were undertaken to ensure the defibrillator was working and the levels of oxygen were satisfactory. We found that staff had received medical emergency training each year during October. This showed that the provider had appropriate arrangements in place for dealing with foreseeable emergencies that could arise from time to time.

We spoke with two people who used the service. They told us they were happy with the service provided. One person said, “The staff couldn’t be nicer, I am very happy with the service.” We saw that people who used the service were able to leave testimonials on the treatment they received. We looked at testimonials which were displayed on the practice website. These included, ‘This is an excellent practice with pleasant and professional staff’, ‘Wonderful practice, would recommend to anyone’ and ‘I have had treatment from my dentist for a number of years and have total trust in their dental ability and knowledge’.