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Archived: The Fold Dental Surgery

The provider of this service changed - see old profile

The provider of this service changed - see new profile

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Inspection report

Date of Inspection: 3 December 2013
Date of Publication: 7 January 2014
Inspection Report published 07 January 2014 PDF | 79.54 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 3 December 2013, observed how people were being cared for and talked with people who use the service. We talked with staff.

Our judgement

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

Reasons for our judgement

We spoke with six people about the quality of treatment they received at the practice. People told us they were completely happy with the treatment they received and that all staff were friendly and welcoming. One person told us, "She (the dentist) is absolutely brilliant". Another person said "Good dentist, I am more than happy. They (the staff) are all polite, they are lovely’’

The dental practice was accessible to people with mobility difficulties and there was a treatment room on the ground floor.

We were told that people whose first language was not English would usually have someone with them who did speak English to aid communication. However, if this was not the case staff had access to an interpreting service. They could either book an interpreter to attend the practice or speak to one over the phone. This ensured they could involve people in their treatment.

There was information available at the practice on how to access dental treatment when the practice was closed. This included a message on the practice answer phone of who to contact. We found a range of information was available to people about services provided and the costs. Useful information on maintaining good dental health and general wellbeing was available.

People told us that they had enough information about their treatment options and what to expect and had been able to make choices about their treatment. People we spoke with who had received treatment at the practice told us they knew exactly what treatment they were having and had signed to say they agreed. One person told us, "She (the dentist) talks you through everything.’’

We spoke with the nurses and the dentist about how they managed people's anxieties. They told us how they talked to people and reassured them to try and put them more at ease. The dentist told us that they would not rush people and if necessary would delay treatment until people were comfortable to receive it. The people we spoke with confirmed what we had been told. One person told us that one of their children was very nervous of the dentist they said, ‘‘She (the dentist) took her time with (their child), she explained everything she was doing and did not rush, made (their child) feel comfortable.’’

People also felt that they could get treatment when needed and appointments were generally flexible to meet their needs. One person commented that they would like it if the practice opened one evening a week. People told us they were able to get prompt appointments for emergency treatment when needed.

Care and treatment was planned and delivered in a way that ensured people's welfare. One person gave their permission for us to observe their consultation. Before the treatment commenced the dentist checked the person’s personal details and medical history. They asked if there had been any changes or if they had any dental problems. The dentist gave the person advice on oral hygiene and how best to look after their teeth. The treatment needed was discussed and agreed with the person receiving the service.

The dentist told us how an examination was carried out and in consultation with people using the service how it was decided what the most appropriate treatment was. Our observations confirmed what we had been told. During our visit, we reviewed the dental records of four people treated by the practice. These confirmed what we had been told. Ongoing records of treatment provided to people were held, supporting continuity of care and information on any specific risks or preferences for people. We found that detailed dental and medical histories were taken and checked for changes. This meant any necessary changes to people's treatment plans could be made. Following explanations and discussions, people were then asked to provide their consent to treatment. A record of the treatment completed and advice on what happened next was then made.

Records showed that the frequency of check ups and follow up treatment was based on