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Archived: Richard Thompson Dental Practice

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Inspection report

Date of Inspection: 25 April 2013
Date of Publication: 21 May 2013
Inspection Report published 21 May 2013 PDF | 84.87 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 25 April 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

One member of staff said “We’re really trying to make a go of this practice. It’s a very caring practice. All the patients are impressed by X (a dentist).” Another said “I’m very happy here. I felt very welcome. The practice manager is very organised.”

We observed two patients during their treatment and both were treated in a caring and professional manner.

Patient care was assessed, planned and delivered on an individual basis. Both patients we observed were having their first appointment at the practice. A thorough examination was completed and the dentist fed back their findings. This information was used to assess needs and an individual payment plan.

Care was planned and delivered to ensure patients’ welfare and safety. Patients were given eye protection and a dental napkin to protect their clothes. The dentist and the nurse wore gloves and face masks and washed their hands appropriately. The dentist made the patient aware that the position of the chair was going to change and said “Are you ok to go back in the chair?” Local radio music was playing in the back ground. Following an examination patients were offered the opportunity to rinse their mouth. We saw that patients were referred to the hygienist as appropriate.

The dentist checked the documented medical history before treatment and asked patients if they were “fit and healthy”. We were told that all patients were followed up by phone after treatment. A tracking process was in place to monitor the safe use of local anaesthetics. We were told that the practice did not stock any other medicines. We were told that the use of intravenous drugs for conscious sedation was not carried out at the practice.

Care was planned and delivered to reflect good practice guidance. The practice manager demonstrated a good understanding of the regulations regarding quality and safety outcomes for people. We saw records that showed the team had discussed each outcome and its implementation in practice. The practice manager had produced a file of evidence to support each outcome and demonstrated a systematic approach to care.

"Local rules" that identified key working instructions for the use of X-ray equipment had been produced in line with regulations. A copy was on display in a clinical area.

Patient care was planned and delivered in a way that protected people from unlawful discrimination. The practice had an equality and diversity policy. The CQC had been told by the provider that staff had been trained to ensure that care reflected patients’ needs, values and diversity.

There were arrangements in place to deal with foreseeable emergencies. We were told that most staff had received training in basic life support and further training was planned for June 2013. All the emergency drugs as per Resuscitation Council (UK) guidance were available and regularly checked. The practice also had an automated external defibrillator for use in the event of a cardiac arrest which was checked regularly. The practice had emergency equipment as recommended by the Resuscitation Council (UK). We noted that the practice did not have an automated blood glucose measurement device for the management of hypoglycaemia/ low blood sugar levels. On the day of our inspection the practice manager made arrangements to order one.

We observed fire safety equipment and escape route signage to support fire safety. Hazard warning signs were on display where medical gases were in use. The practice manager had completed training in first aid at work.