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Bhandal Dental Practice - 45 Zoar Street

All reports

Inspection report

Date of Inspection: 14 March 2013
Date of Publication: 17 April 2013
Inspection Report published 17 April 2013 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 14 March 2013, observed how people were being cared for and talked with people who use the service. We talked with staff.

Our judgement

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

Reasons for our judgement

People were asked for their consent before treatment was delivered. We found that both the paper records and the electronic records showed that people’s treatment plan had been discussed with them and they had signed the patient declaration form. The patient declaration is a form that is completed to show whether people paid for their treatment, or whether they were exempt from paying. One person told us, “My treatment is free, but they still go through everything.” We observed people asked to complete this form when they arrived for their appointment.

Electronic records, completed by the dentists were detailed and showed that consent was obtained from people for every treatment. One person said, “They always ask me what I want to do. They give you a copy of your plan as well for your own records.” The dentist we spoke with said, “It is always the person’s choice, we discuss the risks and benefits.” We found that people’s wishes were respected. In instances when people had refused treatment, their decisions had been respected, and recorded appropriately. This meant that people were offered a choice and their decisions were taken seriously.

We found that consent was obtained from a parent or guardian when the person was under the age of 16. We saw an example of how the person’s parent had been involved in making treatment decisions and how they were asked for their consent on behalf of their child. One dental nurse described how best interest meetings would be organised with other professionals if people lacked capacity to make their own decisions. We found that all staff had received training in the Mental Capacity Act. This meant that arrangements were in place to obtain consent from children and how to act in people’s best interests.