Abbeydale Dental Care Centre-Sheffield

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.

The provider had made improvements in relation to the regulatory breach we found at our inspection on 5 November 2024.

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.

Staff and leaders told us of the systems in place to manage risks for patients, staff, equipment and the premises.

At the inspection on 8 May 2025, we found the practice had made the following improvements to comply with the regulation.

The required radiation protection information was available. The provider had sought and followed their radiation protection advisor’s recommendations to protect patients and staff during X-ray exposures.

The practice followed their recruitment policy and procedure to help them employ suitable staff. We reviewed 2 staff recruitment files and saw all the required checks, including appropriate references, professional indemnity and immunity to Hepatitis B, were in place. Newly appointed staff had a documented structured induction.

Systems had been introduced to review and ensure staff were up-to-date with their mandatory training and their continuing professional development required for their registration with the General Dental Council.

A new Legionella risk assessment had been carried out, and we saw the recommendations from this had been actioned.

We saw evidence that appropriate validation testing of decontamination equipment was now carried out in line with manufacturer’s instructions.

The practice had systems to review and investigate incidents and accidents. In response to a previous sharps injury, they had confirmed arrangements for staff to access appropriate advice and follow up in the event of further incidents.

Audits of radiography were undertaken at the appropriate intervals. We highlighted the clinicians should review and reflect on these to ensure ongoing improvements can be evidenced.

The practice had also made further improvements.Fire drills were now documented.

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.