Exceldent

On this page

• Overview
• Assessing needs
• Delivering evidence-based care and treatment
• How staff, teams and services work together
• Supporting people to live healthier lives
• Monitoring and improving outcomes
• Consent to care and treatment

We found this practice was not providing effective care in accordance with the relevant regulations.

During our assessment of this key question, we found concerns related to

the completeness of patient care records and

the practice having an ineffective system to keep dental professionals up-to-date with current evidence-based practice.

These concerns resulted in breaches of Regulations 12 (Safe care and treatment) and 17 (Good governance) of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014.

You can find more details of our concerns in the report findings below.

Find out what we look at when we assess this area in our information about our new Single assessment framework.

The judgement for Assessing needs is based on the latest evidence we assessed for the Effective key question.

The practice had some systems to keep dental professionals up-to-date with current evidence-based practice.

Improvements were needed to clinician’s understanding of the guidance on periodontal disease and the management of periodontal patients, guidelines for antibiotic prescribing and the concept of Gillick competency.

We looked at the dental care records for 6 service users and found that not all records were present. Missing details included an updated medical history, intraoral and soft tissue checks, extraoral examination, Basic Periodontal Examination, risk assessment, diagnosis/prognosis, and X-ray justification, grading and reporting.

The practice did not have effective systems for the safe prescribing of medicines. There was no log in place for antimicrobial prescribing and where prescribing was not in line with the current guidance, a rationale for prescribing outside of the guidance was not recorded. Antimicrobial prescribing audits were not carried out.

Staff worked together and with other health and social care professionals to deliver effective care and treatment.

The practice had systems for referring patients with suspected cancer under the national Faster Diagnosis Standard.

The judgement for How staff, teams and services work together is based on the latest evidence we assessed for the Effective key question.

The judgement for Supporting people to live healthier lives is based on the latest evidence we assessed for the Effective key question.

The judgement for Monitoring and improving outcomes is based on the latest evidence we assessed for the Effective key question.

The judgement for Consent to care and treatment is based on the latest evidence we assessed for the Effective key question.