Document
List
April 2015
The following list of documents to be on display ( marked D) or available
for the Dental Advisor and the NHS England – South (South East) officer
to inspect at the time of the visit. Some items may not be applicable to all
practices.
(The numbers in brackets refer to the question numbers on the checklist)
Checklist No
Annexe 1
Annexe 1
23
Document
Professional Registration (GDC) and Indemnity provider certificates for all
dentists, therapists and hygienists; CPR; DBS; Hep B with blood test results;
IR(ME)R if applicable,
For all DCPs - if registered, a GDC registration certificate or if not registered,
confirmation of a place in training either current or on a waiting list, CPR; DBS;
Hep B; and IR(ME)R if applicable.
Practice information leaflet. (NHS England – South (South East) will request a
copy of this for their records - see requirements list Annexe 2)
24 D
NHS patient charge poster to be displayed
25 D
Practice based complaints - waiting room notice
28
Complaints Record file / folder
29 D
Employers Public Liability certificate
104
Safety inspection records for x-ray sets (every three years)
112
Acknowledgement letter from the Health & Safety Executive regarding
notification of the use of radiographic equipment
116
Radiation protection file
117
A practice risk assessment for Ionising Radiation
120
b) Log showing monitoring of radiographic solution changing (if film used)
121
Quality assurance system for radiography
c) Monitoring, if appropriate (film badges)
d) Image quality/audit including action re: unacceptable radiographs
122
IR(ME)R Certificates – Practitioners and Operators – ( could be with Annexe 1)
124 - 125
Lasers ( if applicable)
(i) Laser Protection File
(ii) Local Rules / Laser Equipment Safety Certificate
128
Autoclave maintenance/servicing
129
Autoclave pressure test certificate
130 -131
Autoclave monitoring practice log (daily and weekly checks)
135
Records of daily, weekly, quarterly and annual inspection, testing and
maintenance of washer disinfectors in accordance with HTM 01-05
137
Records of daily, weekly, quarterly and annual inspection, testing and
maintenance of ultrasonic baths in accordance with HTM 01-05
152
Compressor – Pressure vessel inspection records
154
Training Records for staff – Infection Control responsibilities - CPDs
155
Infection control policy – to include a named lead staff member
156
Job description/s to show infection control responsibilities
157
A copy of your last half yearly completed / updated local self-assessment
audit ( IPS) for implementation of HTM 01-05
159
Policies
a) Hand Hygiene
b) Inoculation injury
c) Manual cleaning of instruments
d) Moving instruments to and fro from decontamination area/s
e) Selecting New Equipment
Cleaning – cleaning schedule including areas, frequency, materials &
equipment used, person responsible for cleaning
160
161
Health and Safety Practice policy
162
Health and Safety Practice poster on display
163
Practice risk assessments
a) Slip trips and falls
b) Electricity at work
c) Pressure vessels
d) Fire
e) Legionella
f) re-sheathing of needles
164
165
Records of maintenance of fire equipment
Records of fire drills
166
Electricity Safety Certificate for Wiring circuits and fuses
167
Records of electrical equipment safety checks and portable electrical log
( PAT )
168
COSHH assessments
169
Latex Allergy – Policy
172
Developer and fixer disposal contract if applicable
173
Contract/s for the disposal of clinical waste – sharps and soft clinical waste
(appendix 1 HTM01-05) and
Waste amalgam, extracted teeth containing amalgam
174
Consignment notes for the above
175
RIDDOR Information
176
Accident report book
178
Practice policy on violence and aggression
179
Practice policy on Child Protection, including:
a) Copy of Child Protection and the Dental Team
b) Practice policy on Child Protection and Vulnerable Adults
c) Relevant local Safeguarding Children Board procedures
d) Customised flowchart 'What to do'
e)Training certificates for all staff
181
Data Protection registration certificate
183
Freedom of Information Act publication scheme
186
Written log for confirmation of Hepatitis B vaccination
187
a)
b)
c)
d)
e)
f)
g)
h)
i)
Record of Staff meetings
Staff Induction
Staff appraisals
Whistle blowing policy
Recruitment policy
Equal opportunities
Bullying and harassment policy
Sickness and absence policy
Display Screen Policy
188
DBS – Disclosure and Barring Scheme – ( part of Annexe1 )
References for staff
190
Significant Event Analysis
204
Record of regular checks of emergency drugs
212
Records of regular checks / maintenance of emergency oxygen supply