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Inspection report

Date of Inspection: 11 April 2013
Date of Publication: 11 May 2013
Inspection Report published 11 May 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 11 April 2013, observed how people were being cared for and talked with people who use the service. We talked with staff.

Our judgement

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

Reasons for our judgement

Care and treatment was planned and delivered in a way that was intended to ensure people’s safety and welfare.

The practice staff showed us how they assessed patients for treatment. We found that people accessing the service received an initial assessment in which their medical history was obtained and the records were kept on file. The people we spoke to confirmed this. We also observed patients being asked to review their medical history as they arrived for their appointments.

We saw that patients' records were held electronically, with appropriate password protection, and contained details of people's treatment options and treatment plans. The practice was mainly an NHS practice, however if private treatment was required by the patient as a result of their preference, this was documented and any additional costs explained to them by the dentist. People were given a printed treatment plan detailing all costs and the time until the next visit, which was signed by the patient and then scanned on to the system.

The dentist we spoke to told us that the practice was taking part in a pilot scheme whereby each patient received an oral health assessment which included providing preventative advice. This produced a risk assessment which informed the amount of time required until the next appointment.

One person told us, “The staff are really nice. They always talk things through with me and explain what treatment I can have and any consequences there might be of me not having it”.

The practice had arrangements in place to deal with foreseeable emergencies. For example, records showed staff were trained in cardio-pulmonary resuscitation (CPR). There were also three appointed staff members for first aid whose details were clearly displayed in the practice.

There was appropriate equipment to support people in the event of a medical emergency. The service had an emergency drugs kit, oxygen and a defibrillator available. The emergency drugs were stored in an area accessible to all three surgeries. We saw records which showed that these were checked on a monthly basis to ensure that they were appropriate for use.

We were told by staff that an incident had occurred recently which resulted in a medical emergency. We saw evidence that this incident had been investigated, discussed and the resulting recommendations had been implemented.