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Inspection report

Date of Inspection: 25 July 2013
Date of Publication: 23 August 2013
Inspection Report published 23 August 2013 PDF | 78.87 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 25 July 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.

On the day of the visit there was one dentist, one dental nurse and the practice manager working in the surgery. The principal dentist assisted with the inspection process. One person told us, “The dentist made me feel at ease, I cannot fault it at all”.

We looked at a sample of patients care and treatment records and found that they contained a dated record of the most recent treatment/examination and signed copies of treatment plans. The records included details of patients’ medical histories and the receptionist told us that patients were asked at every visit whether their medication had changed. We heard the receptionist asking people to complete a medical history form and to sign it.

We were told that children were encouraged to be involved in their treatment, and clinical staff always ensured that treatments were explained to children in a gentle, and easy to understand manner. For adults who may lack capacity to make decisions or choices about their treatment, the practice encouraged a representative to accompany them. Treatment plans were discussed with the patient, and if necessary the patient's representative was involved in the discussion. This meant that the person was supported with their care in a way that was individual and in accordance with their wishes.

We spoke with the dentist and he talked us through a typical dental examination. He explained that he conducts both an ‘extra-oral and intra-oral dental’ check that included a soft tissue examination and examination of the patients’ swallowing action. To assist people to maintain their dental health we saw products on display that included toothbrushes, toothpastes, interdental brushes and dental floss. This meant that people experienced effective, safe and appropriate care, treatment and support that met their needs and protected their rights.

Staff were trained in emergency life support, and had yearly updates for this training. The practice had appropriate equipment to support people in the event of a medical emergency. There was a list of medicines that showed the expiry date of each product. There was a regular check undertaken and recorded in relation to these medicines. We were told that the equipment had been checked regularly and that the external provider of the equipment carried out regular monitoring of the equipment.

There were processes in place for people to access the dentist in an emergency. Patients were given information on how to contact the local NHS dental emergency service out of hours. The practice manager told us that they would always see a patient at short notice if they were experiencing any problems. This meant that people experienced effective, safe and appropriate care, treatment and support that met their needs and protected their rights.