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Archived: Robinspool Dental Practice

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Inspection report

Date of Inspection: 28 February 2014
Date of Publication: 11 April 2014
Inspection Report published 11 April 2014 PDF | 94.82 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 28 February 2014, 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 and talked with staff.

Our judgement

Care and treatment was planned and delivered in a way that was intended to ensure patient's safety and welfare.

Reasons for our judgement

Patient’s needs were assessed and care and treatment was planned and delivered in line with their individual treatment plan. Patients told us that treatment options were discussed with them and a plan of treatment agreed. For example, one patient told us they had decided to have two crowns replaced and knew there would be a number of appointments involved in the treatment plan. This patient said they had been told how much the treatment would cost and that this had been written down for them. We looked at four patient records. The records confirmed the treatment that people said they had received.

Treatment was planned and delivered in a way that was intended to ensure patient’s safety. Patients we spoke with told us they had filled out a medical history form and were asked for an update on their medical history before any treatment was carried out. We looked at patient’s records and saw that copies of medical history forms were held. We saw that there was a system to highlight if a patient had an allergy or medical condition that the dentist should be aware of.

Treatment was planned and delivered in a way that was intended to ensure patients’ welfare. Patients told us they were given advice an information about how to maintain good oral health. One patient said “I had quite a long first check-up, she [the dentist] showed me how to use interdental brushes and gave me some to take home and use. I was impressed she took the time to show me and to make sure that I could do it correctly”. Another patient told us that staff “take time to explain things; mainly about gum disease [which was this patient’s main problem]. They monitor you extremely well. They tell you when things are getting better or need improving”. A further patient said “he [the dentist], spotted a concern and recommended I go to the optician for a check-up. I was impressed he spotted it and recommended this”.

There were arrangements in place to deal with foreseeable emergencies. We saw records to confirm all staff had received training in CPR (cardio pulmonary resuscitation) within the last year. We were told that the next CPR course was due to be booked imminently. The practice had an Emergency procedure and medical emergencies policy. The practice had an emergency oxygen supply. Staff told us that this was checked weekly and a record of checks kept. We checked the Oxygen, which was full and had paediatric and adult masks available. There was an emergency drugs box. This was checked by the reception staff on a monthly basis and a record kept we saw that drugs had been re-ordered that were due to expire.

The provider may find it useful to note that at the time of our visit the practice did not have an automated external defibrillator (AED). The General Dental Council (GDC) published standards for dentists in September 2013 which stated that dentists "must follow the guidance on medical emergencies issued by the Resuscitation Council (UK)". The resuscitation council (UK) guidance states that "all clinical areas should have immediate access to resuscitation drugs, equipment for airway management and an automated external defibrillator (AED)".

Time was scheduled each day to allow for emergency appointments. The reception staff told us that each dentist kept an appointment in the morning and an appointment in the afternoon free for emergencies. Patients we spoke with, who had required an emergency appointment in the past told us they had been seen within 24 or 48 hours.