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Inspection report

Date of Inspection: 9 July 2013
Date of Publication: 7 August 2013
Inspection Report published 07 August 2013 PDF | 79.28 KB

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 carried out a visit on 9 July 2013, observed how people were being cared for, talked with people who use the service and talked with staff.

We looked at treatment records.

Our judgement

Patients views and experiences were taken into account in the way the service was provided and delivered in relation to their care. Patients who use the service understood the care and treatment choices available to them.

Reasons for our judgement

Before patients received any care or treatment they were asked for their consent and the provider acted in accordance with their wishes. We looked at four treatment records. We saw evidence to show people had been provided with a written treatment plan detailing what treatment would be provided and how much this would cost. Patients had signed to confirm agreement with the proposed plan of treatment. Discussions about treatment all occurred in the treatment room and were therefore private and confidential. The dentist told us they used visual aids and X-rays to help explain why treatment was required and what this would entail. We saw in the waiting room information about treatment costs. This was also included with practice information provided to new patients. This ensured people fully understood the reasons for, and relevant options and costs of any treatment.

We spoke with five patients. They all said they were told about recommended treatments, including any risks, and were provided with a chance to ask any questions before agreeing to any treatment. They told us about the treatment plans they signed prior to any work being carried out. Other than in emergencies, patients would be able to consider treatment plans prior to booking appointments and attending for treatment. This would allow time to consider any options. Patients also said the dentist kept them informed during treatment about what was to happen next. There were a number of written information leaflets which could be provided to patients to further explain treatments and action patients could take to promote their own oral health. Patients therefore were provided with information about their treatment plans and agreed to these before treatment was commenced.

Where patients did not have the capacity to consent, the provider acted in accordance with legal requirements. We spoke with staff and the dentist about how consent was obtained in such cases. They stated where a child under 16 years was not consenting they would explain to the child and thier parents the need for treatment. However if the child was not in agreement they would not proceed. This was also the case where adults may lack capacity to consent, such as an older person with dementia. Staff described how one older person came to the surgery on their own. They had been informed of planned treatment and had arranged an appointment. However, staff were aware a relative managed their money and had sent a copy of the proposed treatment costs to the relative to agree before providing treatment to the person. We saw certificates to show staff had completed safeguarding adults and children training and were aware of mental capacity issues relating to consent. This meant treatment was delivered in accordance with the best interests of the patient.