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Inspection report

Date of Inspection: 2 October 2013
Date of Publication: 1 November 2013
Inspection Report published 01 November 2013 PDF

The service should have quality checking systems to manage risks and assure the health, welfare and safety of people who receive care (outcome 16)

Not met this standard

We checked that people who use this service

  • Benefit from safe quality care, treatment and support, due to effective decision making and the management of risks to their health, welfare and safety.

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 2 October 2013, talked with people who use the service and talked with staff.

Our judgement

The provider did not have an effective system to regularly assess and monitor the quality of service that people receive.

Reasons for our judgement

There was a suggestion box in the waiting area with printed slips for people to make comments about the practice. We were told that people had not made any suggestions.

At the time of registration, the provider told us they would conduct a satisfaction survey to gain the views of people who used the service.They had not done so. One person commented, to us, that the opening hours were not convenient for people who worked during the day. When we told the dentist about this they said they would carry out a survey and would include questions about the convenience of the practice opening hours in the survey questionnaire.

The provider did not have an effective system to assess and monitor the quality of the service provided to identify any risks to people and introduce measures to minimise risk. There were no audits carried out in relation to the quality of x-rays or people's records and whilst there were daily check lists for ensuring infection control measures were in place there was no six monthly audit as recommended by the Infection Prevention Society and Department of Health.