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CQC Orders Enforcement Measures at Wollaston Dental Clinic

A boss at the WOLLASTON dental clinic has spoken out after being criticized by a health care watchdog over safety rules.

The latest report from the Care Quality Commission reveals that enforcement action was ordered against Wollaston Dental following an inspection on July 25.

Dr Kenneth Moylan, who heads the practice, however, said much of the criticism related to red tape.

The report, published on August 24, says the High Street practice did not fully comply with regulations that help ensure services are safe, efficient and well-run.

He said the dental care provider must take steps to ensure that treatment is provided safely and to establish effective systems to ensure good governance in accordance with basic standards of care.

The report states that the firm’s registrant has “failed to do everything reasonably possible to mitigate risks to the health and safety of service users receiving care and treatment” and, in particular, treatment using conscious sedation was not provided according to current standards. tips.

According to the report, inspectors found that patients’ sedation needs were not assessed and recorded and that written consent for procedures performed under conscious sedation was not obtained until the day of treatment.

He said preoperative vital signs were not recorded before the sedative drug midazolam was given and there was no record in dental records of the volume or concentration of the drug given to patients.

The report adds that the patient’s contemporaneous notes were not recorded (including the patient’s vital signs) during the conscious sedation procedure and that postoperative patient instructions and patient escort details were not recorded. not been recorded.

A register of conscious sedation cases was also not kept and not all staff involved in the process had received the appropriate training.

An audit relating to the provision of conscious sedation had also not been completed.

The report says the systems operate “inefficiently” and fail to assess, monitor and improve the quality and safety of services.

He acknowledged efforts were being made to demonstrate improvements over time, but said policies and procedures, particularly regarding conscious sedation, were not yet integrated.

A CQC spokesperson said: ‘The practice did not have systems in place to ensure the safe provision of conscious sedation. This included pre, during and post treatment checks, emergency equipment availability, medication management, sedation equipment checks, staff availability and training.

Although the CQC has not suspended any activity at the practice, the spokesperson added: “The provider assured us that dental work or treatment using conscious sedation would not be undertaken until these systems are in place. .”

Practice boss Dr Moylan said: “Although the CQC report seems quite damning, it is important to look a little deeper.”

About the issues with conscious sedation, he said, “If I follow all clinical guidelines, what I do is monitor blood pressure and oxygen saturation, titrate the amount of medication being given, check that the patient can exit safely and discharge into the care of their escort, this is considered safe if all readings are written down.

“If not written down, they are considered dangerous. I accept criticism and now comply with the latest guidelines…notes, notes and more notes. “Governance in the dental practice is now a very big topic.

“Can you believe the CQC asked me what my policy was on female genital mutilation? I didn’t have any, but I do now.

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