Devonshire House Dental Practice

On this page

• Overview
• Shared direction and culture
• Capable, compassionate and inclusive leaders
• Freedom to speak up
• Workforce equality, diversity and inclusion
• Governance, management and sustainability
• Partnerships and communities
• Learning, improvement and innovation

We found this practice was providing well-led care in accordance with the relevant regulations and had taken into consideration appropriate guidance.

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

The judgement for Shared direction and culture is based on the latest evidence we assessed for the Well-led key question.

The judgement for Capable, compassionate and inclusive leaders is based on the latest evidence we assessed for the Well-led key question.

The judgement for Freedom to speak up is based on the latest evidence we assessed for the Well-led key question.

The judgement for Workforce equality, diversity and inclusion is based on the latest evidence we assessed for the Well-led key question.

The practice had a governance system that included policies and procedures, which were accessible to staff and were reviewed on a regular basis.

Systems and processes were embedded, however some improvements were required.

Staff were aware of the importance of protecting patients’ personal information. Staff password protected patients’ electronic care records.

There were effective processes for identifying and managing risks, investigating incidents and accidents, and for receiving and acting on safety alerts.

The practice had systems and processes for learning, quality assurance and continuous improvement. This included undertaking audits according to recognised guidance.

The practice told us that staff meetings were not currently being held; these were due to be reinstated in February 2026 which would help with improved communication between the practice and the group.

Concerns and complaints were responded to appropriately, and outcomes were discussed to share learning and for improvement. Improvements should be made to the monitoring of complaints. The practice told us that a new system was being implemented to facilitate better recording of complaints.

Staff had clear responsibilities, and systems of accountability to support good governance.

The practice gathered feedback from patients through online reviews and responded accordingly.
 

The judgement for Partnerships and communities is based on the latest evidence we assessed for the Well-led key question.

The judgement for Learning, improvement and innovation is based on the latest evidence we assessed for the Well-led key question.