Hoe Street Dental Surgery

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, and the inspection did not highlight any significant issues or omissions. Areas requiring improvement were acted on immediately.

Staff were aware of the importance of protecting patients’ personal information. Staff password protected patients’ electronic care records, and paper records were stored securely and complied with General Data Protection Regulations.

Relevant policies and protocols were in place for the use of closed-circuit television (CCTV) which were present in the communal areas of the practice.

There were processes for identifying and managing risks, investigating incidents and accidents, and for receiving and acting on safety alerts. The provider should ensure that near-miss incidents are consistently recorded, investigated and used as learning to minimise the risk of recurrence.

The practice had systems and processes for learning, quality assurance and continuous improvement. However, the provider should ensure that audits are completed in line with recognised guidance. We noted that radiograph audits had been undertaken between 2023 and 2025; however, fewer than 100 images were included, and no audit had covered the most recent six-month period.

Concerns and complaints were responded to appropriately, and outcomes were discussed to share learning and for improvement.

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

Staff feedback was obtained through meetings, surveys, and informal discussions. They were encouraged to offer suggestions for improvements to the service, and they said these were listened to and acted upon, where appropriate. For example, staff had suggested extending the practice to accommodate more patients, and a new treatment room had been built.

The practice gathered feedback from patients, the public and external partners, and responded accordingly. For example, the 2 foundation dentists collected feedback from patients on the care and treatment provided, which formed part of their training requirements and submitted as part of their portfolio.

The practice had taken steps to improve environmental sustainability. For example, staff were encouraged to recycle and turn off equipment when not in use. We saw that the record-keeping and X-ray processes were digitised.

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.