Service Provided by:
At Home Dental

Quality Assurance Checklist

Performance is monitored once every term and these are the points which your facilitator will cover with you.
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Organisation at Home Dental

There is a designated programme lead who is responsible for the scheme within the setting.
A model agreement outlining the responsibilities of partners has been completed and signed by all partners.
Support and training are available for staff to deliver the programme, including infection prevention and control procedures. Training is recorded and monitored.
Permission/consent is sought from parents or carers for their children to take part in the scheme and records are maintained.
Quality assurance assessments are carried out by staff each term and by the provider team annually and documented using a quality assurance checklist. Monitoring should include observation of the toothbrushing session; discussion of the toolkit guidance with the key settings designated lead; (OHC?) feedback to the overall programme lead and arrangement of a follow-up visit.
There is access to a named dental professional for advice if needed.

Effective Preventative Practice

Fluoride toothpaste containing 1,350 to 1,500ppm fluoride is used in the toothbrushing programme.
Correct amount of toothpaste is used: - Children under three years of age have a smear of paste applied to their brush - Children over three have a pea-sized amount of paste applied to their brush
Children are supervised by an adult during brushing.
Children should be discouraged from swallowing toothpaste during or after brushing their teeth.
After brushing, children spit out residual toothpaste and don’t rinse.
Toothbrushes are replaced termly or once the bristles become splayed, or if they fall on the floor.

Infection Prevention and Control

Supervisors wash their hands before and after the toothbrushing session and cover any cuts, abrasions or breaks in their skin with a waterproof dressing before commencing a toothbrushing session.
Toothbrushes are individually identifiable for each child.
Where toothpaste is shared a supervisor dispenses it onto a clean surface such as a paper towel.
Toothbrushes are stored in appropriate storage systems or ventilated holders that enable brushes to stand in the upright position and ensure that toothbrushes do not contact each other to avoid contamination.
Storage systems display symbols corresponding with those on the toothbrushes to allow individual identification.
Storage systems are stored within a designated toothbrush storage trolley or in a clean, dry cupboard. Storage systems in toilet areas must have manufacturer’s covers which allow the free flow of air and be stored at adult height or in a suitable toothbrush storage trolley.
Storage systems, trolleys and storage areas are cleaned, rinsed, and dried at least once a week (more if soiled) by staff using warm water and household detergent.
Storage systems are regularly checked for cracks, scratches or rough surfaces and replaced if required.
Toothbrushes should not be washed together in the sink.
Toothbrushes that fall on the floor are discarded.

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