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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

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 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 who use the service experienced effective, safe and appropriate care, treatment and support that met their needs and protected their rights. Patient’s health information was known and discussed with them at each visit. Emergency procedures and equipment were available.

Reasons for our judgement

Care and treatment was planned and delivered in a way that was intended to ensure patients safety and welfare. We were told patients completed an initial health questionnaire when they registered with the practice. We looked at four patient records. We saw existing medical conditions and information such as medication were recorded on patients records. Records also showed patients were asked to update their medical information at each visit. We saw a report of an audit completed on medical records in November 2012. This followed the British Dental Association guidelines and had included checking medical history information was present for all patients. The audit did not identify any concerns with record keeping.

We spoke with five patients. They all told us the dentist asked them about any changes in their medical history or medication taken at the start of each consultation and prior to any treatment. This meant the staff were always aware of any risks to patients and would ensure they were safe during consultation and any treatments. Yarmouth dental centre was situated on the ground floor and accessible for people with mobility needs. Accessible toilet facilities were also available. There were therefore no risks posed to people by the environment.

Patients needs were assessed and care and treatment was planned and delivered in line with their individual plan. Most patients we spoke with told us they had been with the practice for several years. They said they were very happy with the treatment they received. Patients were provided with information about out of hours emergencies via the practice answerphone. This information was also available on the practice leaflet and outside the practice entrance. This ensured people received appropriate emergency advice and access to care when the practice was closed.

There were arrangements in place to deal with foreseeable emergencies. We were told staff were trained in dealing with medical emergencies and saw the staff training certificates of emergency procedure and first aid training. Emergency first aid equipment and a dental emergency medication box and oxygen were available. These were readily accessible should they be required. There were systems in place to replace medication approaching ‘use by’ dates. Discussions with the dentist and other staff showed they had arrangements in place as to who would do what in an emergency. This ensured, if required, staff were able and equipped to deal with medical emergencies.