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Archived: Oakmead Dental Care

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Inspection report

Date of Inspection: 6 February 2013
Date of Publication: 14 May 2013
Inspection Report published 14 May 2013 PDF

People's personal records, including medical records, should be accurate and kept safe and confidential (outcome 21)

Meeting this standard

We checked that people who use this service

  • Their personal records including medical records are accurate, fit for purpose, held securely and remain confidential.
  • Other records required to be kept to protect their safety and well being are maintained and held securely where required.

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 6 February 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 staff and reviewed information we asked the provider to send to us.

Our judgement

People were protected from the risks of unsafe or inappropriate care and treatment because accurate and appropriate records were maintained.

Reasons for our judgement

People’s personal records including medical records were accurate and fit for purpose.

We were able to inspect five records which demonstrated a good standard of record keeping. All records showed contact details, up to date medical history, and full contemporaneous notes.

Staff records and other records relevant to the management of the services were accurate and fit for purpose. The practice maintained a file for each member of staff that contained details of their contract and certificates of attendance at continuing professional development (CPD) courses. There was also evidence of Criminal Records Bureau checks for all staff.

There was a radiation protection file and documentary evidence of the testing and maintenance of the x-ray equipment. We were also able to see documentary evidence of the testing and maintenance of the autoclaves and legionella testing of the water supply.

Records were kept securely and could be located promptly when needed.

Records were stored securely and logically and could be located promptly. Filing cabinets were kept locked and access to the computer system was password protected. Computer records were backed up securely. Records were kept for the appropriate period of time and then destroyed securely.