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Great Wyrley Dental Practice

The provider of this service changed - see old profile

All reports

Inspection report

Date of Inspection: 23 May 2013
Date of Publication: 26 June 2013
Inspection Report published 26 June 2013 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 23 May 2013, observed how people were being cared for and checked how people were cared for at each stage of their treatment and care. We talked with people who use the service, talked with carers and / or family members, talked with staff and received feedback from people using comment cards. We reviewed information given to us by the provider and reviewed information sent to us by commissioners of services.

Our judgement

People experienced care, treatment and support that met their needs and protected their rights.

Reasons for our judgement

Dr Patel, the dentist who owns this dental practice, showed us some computerised patient records. We were told about the usual checks that took place at a routine examination. This included checking the patient's medical history and checks on their teeth, gums and soft tissues. We saw that any advice about how to care for your teeth and discussions about treatment options had been recorded, including fees for both NHS and private upgrades. We were shown the charts used to record gum health. These were updated at every visit and were used to show that changes made to dental hygiene had been effective.

We were told about the systems in place to ensure that people’s records were up to date regarding any medication that they took. This was important as some dental medications may interact with other medications and cause harm.

We asked the dentist how they supported nervous patients. We were told about the various methods used which included giving extra time at appointments to explain the treatment, showing models and pictures and people being able to make an appointment for a chat about their treatment. The dental nurses that we spoke with confirmed this. They both felt that the staff at this dental practice were good at making people feel at ease. The dental nurse told us: "We talk to people as if we were their friend. We always tell them exactly what we are doing”. One person who used the service told us: “They know I am nervous, they talk to me and explain things and even held my hand when I got really nervous". Another person said: "I live in x but prefer to travel to this practice as they are always friendly and put me at ease". Certificates and stickers were given to anxious children. One parent said: "They have been really good and my child is no longer scared of coming to see the dentist".

We asked about the arrangements for emergency appointments during the dental practice’s normal opening hours. Staff told us that people were always offered an appointment the same day. This meant that systems were in place to ensure that people with dental pain were seen quickly. Two people that we spoke with told us that they had been seen quickly when they had tooth pain. One person said, “I broke my tooth and they got me in straight away”.

We discussed the systems in place to ensure that emergency medical situations were handled appropriately. We were shown the emergency medication which was stored in a dedicated box. A list of medication with the expiry date for each was recorded. We checked some of the medication and saw that it was within its expiry date. We were told that there were arrangements in place to replace the medication before it had reached its expiry date when required. We saw that staff were monitoring the temperature of the area where the medication was stored. This helped to ensure medication was stored within the required temperature range.

We asked to look at records which demonstrated that the oxygen and defibrillator (AED) was checked on a regular basis. A defibrillator is a machine used to give the heart an electric shock in cases of cardiac arrest. We saw records that demonstrated that this equipment was checked on a regular basis.

We were shown training certificates which demonstrated that all staff had undertaken annual training for emergency situations. This training included the demonstration and practice of cardio pulmonary resuscitation (CPR). Staff told us that they received updates of this training every year and records we looked at confirmed this. This meant that systems were in place to ensure that staff had the necessary training and equipment to be used in an emergency.