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Mr Reginald P J O'Neill Dental Practice

All reports

Inspection report

Date of Inspection: 14 February 2014
Date of Publication: 6 March 2014
Inspection Report published 06 March 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 14 February 2014, observed how people were being cared for and talked with people who use the service. We talked with staff.

Our judgement

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

Reasons for our judgement

We looked at four patient records on the day of our visit and these covered a range of treatments including sedation. The provider used a combination of paper and electronic records.

We found that the paper records contained details of a person's medical history that had been updated at subsequent visits to the practice. These included their health conditions, allergies and medication they were taking. They also contained written treatment plans.

People attending the practice received an oral health assessment prior to any treatment being undertaken. This included a soft tissue examination, hygiene advice and any prevention methods required to maintain healthy teeth. Verbal explanations were provided about recommended treatments including the risks, benefits, options and costs involved. This was followed up with a written letter for people that included the treatment plan and all relevant information to enable them to make an informed decision about whether to proceed with the treatment suggested. People’s needs were assessed and care and treatment was planned and delivered in line with their individual care plan.

In relation to people requiring sedation, the initial consultation included a sedation assessment to ensure suitability for the procedure. People were supplied with written information covering the risks and benefits of the treatment before taking written consent. Instructions were also supplied that included when to stop eating or drinking before the procedure and appropriate advice to follow after the treatment had been received.

On the day before the sedation treatment, people were contacted by phone to check on their health and to remind them of the pre-procedure instructions. On the day of the treatment, written consent was taken and patients were reassured by dental staff. Throughout the procedure a record was kept of the person's condition and the type and quantity of sedation medication supplied to them. After the procedure their condition was monitored until considered well enough to return home. Any post procedure instructions were repeated to the person receiving treatment and to anyone escorting them. The following day they received a courtesy call to check on their health and welfare. Care and treatment was planned and delivered in a way that was intended to ensure people’s safety and welfare

We spoke with three people who used the service on the day of our visit and four subsequently on the telephone. Each person spoken with told us that they were very happy with the information they had received about their treatment and the quality of the dentistry. They felt they were well cared for and would recommend the practice without hesitation to family and friends.

One person said, "I have had sedation and they treated me very well. The information was good and all my options were explained to me. I was given advice about what to do before and after and it was a good experience." Another person said, "I have been coming here for years and they are very good. I have never had cause to complain and they are very kind and caring. I get good explanations about any treatment that I need."

The provider had prepared for foreseeable emergencies. Staff were trained in first aid and the use of a defibrillator. Supplies of appropriate medication were readily available and in date. There were robust procedures in relation to stock control and monitoring of expiry dates.

X-ray equipment was situated in suitable areas and they were carried out by an appropriately trained dentist. A radiation protection advisor and supervisor had been appointed and local rules that were relevant to the practice and equipment were displayed. X-ray equipment had been serviced and maintained at appropriate intervals. This helped keep patients safe.