Consent & Documentation for Care Homes – Birmingham
Clear consent and accurate documentation are essential for safe dental care in care homes. Families, managers and inspectors all need reassurance that treatment decisions are recorded properly. Our Consent & Documentation service in Birmingham provides care homes with a structured process that protects residents, staff and families while meeting CQC oral health requirements.
Why consent & documentation matter
- Protects residents: ensures their wishes and best interests are respected
- Protects care homes: clear paper trail supports compliance with CQC inspections
- Protects families: transparent communication builds trust and confidence
- Supports staff: reduces uncertainty and provides a reliable framework
What our documentation system includes
- Consent forms: resident consent or best-interest decision records under the Mental Capacity Act
- Medical history sheets: medications, allergies and relevant conditions logged for safety
- Treatment notes: procedures, risks explained and outcomes recorded clearly
- Aftercare instructions: written guidance for carers and families after each visit
- Hygienist input: daily mouth-care plans and checklists created to guide carers in between visits
How we work with care homes
- Preparation: we provide templates in advance for resident/family signatures
- Visit day: our dental team records all treatment with clear, structured notes
- Handover: paperwork is left with staff and summaries shared with families
- Follow-up: documentation supports recalls, emergencies and CQC inspections
Benefits for managers and staff
- Confidence that all dental care is properly logged
- Reduced risk of disputes or complaints
- Time saved with ready-made, compliant paperwork
- Positive impact at CQC inspections
FAQs – Consent & Documentation Birmingham
What if a resident cannot give consent?
We follow the Mental Capacity Act, working with families and staff to record best-interest decisions transparently.
Can documentation be digital?
Yes. We can provide secure digital versions where appropriate, though paper records are always available.
Do families receive copies?
Yes. Summaries can be shared directly with families or legal representatives for transparency.
Is your paperwork CQC-ready?
Yes. All forms and notes are structured to support care homes during inspections.