You are here

The provider of this service changed - see old profile

All reports

Inspection report

Date of Inspection: 3 July 2013
Date of Publication: 31 July 2013
Inspection Report published 31 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 3 July 2013, observed how people were being cared for and talked with people who use the service. We 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 explain what is needed and what is not. They provide advice and give options of treatment. I then agree if I am happy to proceed before they start any treatment”. Another patient said, “The dentists ask me for my permission at every visit. He tells me precisely what he is going to do before proceeding after I must have said yes”.

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, “For example, If the visit is about filling, we show them the problem i.e. decay, discussed required treatment and options of restoration, benefits and negative sides. We do a treatment plan with both options on them and ask them to go away and think about it before we carry out any treatment at a later date”. 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 sixteen. They said, "I try and explain to a child what needs to be done in a child friendly manner. If a child says I do not want to go ahead with the treatment, then I stop. Parents are always with the child, so I speak with the parents too for consent". “Regards children, I ensure the parents are with them when treating and always seek their consent. Usually they come with the mother. I explain the process to the child but the parent needs to consent to the treatment”. This showed that the practice ensured they sought patient’s consent on treatments and gave them the opportunity to say no to treatment.

We saw that private patients had signed their treatment plan forms. These forms gave information on full oral health assessment; treatment proposed, 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.