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Inspection report

Date of Inspection: 29 October 2012
Date of Publication: 7 November 2012
Inspection Report published 7 November 2012 PDF

Before people are given any examination, care, treatment or support, they should be asked if they agree to it (outcome 2)

Meeting this standard

We checked that people who use this service

  • Where they are able, give valid consent to the examination, care, treatment and support they receive.
  • Understand and know how to change any decisions about examination, care, treatment and support that has been previously agreed.
  • Can be confident that their human rights are respected and taken into account.

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 29 October 2012, talked with people who use the service and talked with staff.

Our judgement

Before people received any care or treatment they were asked for their consent and the provider acted in accordance with their wishes.

Reasons for our judgement

The dental practice provided services mostly for people who were receiving treatment on behalf of the NHS with a few private fee paying individuals. We spoke with the Principal Dentist, who told us approximately 18,000 people were registered with the service to receive routine dental treatments with additional people being referred by their dentists for surgical treatment on an ad hoc basis.

We saw there was an appropriate policy in place for the staff to follow to ensure that appropriate consent was undertaken. The Principal Dentist told us that at each scheduled examination, people who used the service were asked to complete and sign consent to treatment forms and a signed acknowledgement of fees and charges for the treatment. People who used the service also completed a medical history questionnaire which was checked verbally at each visit and updated on the practice computer at least annually.

The Principal Dentist told us that the treatment options and services available were explained to people prior to receiving treatment, so they could make an informed decision. The Principal Dentist confirmed that the majority of people who undertook treatment had the ability to consent and they sought written consent from people who used the service prior to commencing treatments. Consent to provide treatment to children was obtained from their parents or legal representatives.

During the visit, we looked at three peoples’ medical records, which showed that staff involved people who used the service and treatments were offered in accordance with peoples’ individual needs and preferences. The records we looked at showed that written consent had been obtained for services prior to commencing treatment.