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Inspection report

Date of Inspection: 3 July 2013
Date of Publication: 31 July 2013
Inspection Report published 31 July 2013 PDF | 88.03 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 July 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

Care and treatment was planned and delivered in a way that was intended to ensure people's safety and welfare.

We spoke with three patients who used the practice about their experience of Southcot dental surgery. They told us that they liked the practice. They commented, “It has been wonderful. They answer all your questions. They are good and friendly. They welcome you”. “The best experience I have ever had” and “I feel really good. Feel looked after and cared for”.

We looked at the records of ten consultations which were kept electronically on the computer. They contained information about each person's medical history, what the dental examination had involved and a record of any treatment given together with the costs involved. We saw that all patients were involved in developing their treatment plan and had agreed to it. This plan was based on a full mouth assessment that was undertaken by the dentist. For example, we saw treatment plan that showed different stages of treatment and the prognosis of the treatment. We saw records of detailed discussions held between patient and dentist, signed and dated by the patient.

The provider may find it useful to note that we found that some medical history questionnaire were either not available or were not signed by the patient. Failure to provide consented medical history might mean that patients had not consented before admission into the practice.

The clinic had four clinical surgeries. Two surgeries were on the ground floor and could be used for disabled patients or those with mobility problems. The practice was staffed by four full time dentists, one practice manager, five dental nurses and two reception staff on the day we visited. We saw that flexibility in booking patients in for treatments meant that appointment times were arranged so that a realistic amount of time was allocated to each patient. One person said, “I was offered an open slot today when I called and I was happy I could see the dentist at short notice”. Another person said, “They always send a reminder text to me to remind me of my appointment, which was good”. This helped to ensure that people received the care and treatment they needed and met the needs of patients as at when required.

The patients spoken to were very positive about the treatment and quality of service that they received. Comments included, “I left another dentist to come here and I feel better because they have been able to cope with me, my reaction and I have confidence in their practice”.

A quality assurance system was in place to monitor the quality of x-rays taken as required by current radiography guidelines. This was supported by a weekly audit of dental x-rays carried out by staff and further discussions at monthly staff meetings. This meant that patients were protected from unnecessary exposure to radiation.

We saw records that showed staff were appropriately trained in medical emergencies that might occur within the practice, including dealing with a collapsed patient. Staff were trained in cardiopulmonary resuscitation and basic life support. This meant that there were arrangements in place to deal with foreseeable emergencies.