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Archived: Simply Bright-Greenacres

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Inspection report

Date of Inspection: 26 June 2013
Date of Publication: 24 July 2013
Inspection Report published 24 July 2013 PDF

Before people are given any examination, care, treatment or support, they should be asked if they agree to it (outcome 2)

Meeting this standard

We checked that people who use this service

  • Where they are able, give valid consent to the examination, care, treatment and support they receive.
  • Understand and know how to change any decisions about examination, care, treatment and support that has been previously agreed.
  • Can be confident that their human rights are respected and taken into account.

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 26 June 2013, observed how people were being cared for and sent a questionnaire to people who use the service. We talked with people who use the service and talked with staff.

Our judgement

Before people received any care or treatment they were asked for their consent and the provider acted in accordance with their wishes.

Reasons for our judgement

Before people received any care or treatment, they were asked for their consent and the provider acted in accordance with their wishes. Where people did not have the capacity to consent, the provider acted in accordance with legal requirements.

One patient told us, “They tell me the details of what is to be done, options regarding the cost and the options of treatment too. I then agree if I am happy to proceed before they start any treatment”. Another patient said, “She tells me what is required, we talk about it, they took X-rays and I agree with the treatment”.

We spoke with three members of staff about how they ensured people were involved in making decisions about their care and treatment. They gave good examples of their daily practice of how they achieved this. We heard comments like, “We explain the treatment to the patient, once they understand, and we go ahead. They complete FP 17 form for consent”. Another staff said, “Every patient receives a treatment plan and cost, which is explained to them and they sign to give their consent”. This demonstrated that people who used the service had the opportunity to express their opinions and consent was sought before treatment was given.

Staff told us there were systems in place to gain consent from parents of children under the age of eighteen. They said, "although the children are seen by the dentist after the children had given verbal consent for treatment, we still request a parent’s signature before any treatment is given". “Regards children, I ensure the parents are with them when treating and always seek their consent”. This showed that the practice ensured they sought patient’s consent on treatments and gave them the opportunity to say no to treatment.

We spoke with three patients who visited the practice during our visit. One patient told us, "I completed forms such as medical information and consent to treatment when I joined”. We saw each NHS patient had signed a treatment plan FP17DC form and one had been completed for each course of treatment they had received. Also, private patients had signed their treatment plan forms. These forms gave information on full oral health assessment; treatment proposed either NHS or private and the cost of the treatment, which was then signed by the patient to ensure they had understood and accepted the treatment and associated costs. The patient also received a copy of this form for their records. This showed that staff understood consent procedure and allowed patients the opportunity to withdraw or consent to the treatment offered.

We saw that people were provided with treatment options. For example, there was information leaflet and on their website for hygiene treatment, therapy treatment, tooth whitening, crowns and bridges, dentures, implants and braces. One patient said, “they always offer me options for procedures. They are very professional”. This meant that the practice provided treatment options which enabled informed consent.