Night and Day Emergency Dentist

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 not providing well-led care in accordance with the relevant regulations. We will be following up on our concerns to ensure the provider had made the required improvements.

During our inspection of this key question, we found

the registered person had ineffective systems or processes to enable them to assess, monitor and improve the quality and safety of the services being provided. We also found ineffective systems or processes to assess, monitor and mitigate the risks relating to the health, safety and welfare of service users and others who may be at risk.

This resulted in a breach of Regulation 17, Good governance.

You can find more details of our concerns in the detailed findings below.

We have not awarded this service a score for Well-led.

Find out about when we will not publish a key question score and what we look at when we assess Well-led.

We did not look at Shared direction and culture during this assessment. The score for this quality statement is based on the previous rating for Well-led.

We did not look at Capable, compassionate and inclusive leaders during this assessment. The score for this quality statement is based on the previous rating for Well-led.

We did not look at Freedom to speak up during this assessment. The score for this quality statement is based on the previous rating for Well-led.

We did not look at Workforce equality, diversity and inclusion during this assessment. The score for this quality statement is based on the previous rating for Well-led.

The practice had a governance system that included policies and procedures. We found these were not effective or always accessible to staff and were not regularly reviewed.

Systems and processes to support good governance were not established or embedded. The inspection highlighted a number of issues or omissions.

Evidence that required pre-employment information was sought for all staff was not available.

Records to confirm monitoring tasks to reduce the risk from fire, legionella and infection prevention and control were not always completed in line with guidance. Oversight procedures to ensure these tasks were completed were not effectively or consistently applied.

Records to confirm the availability and effectiveness of fire detection and suppression equipment and medical emergency equipment and medicines were not completed consistently or in line with guidance.

The provider demonstrated a commitment to addressing areas requiring improvement swiftly and submitted evidence of actions taken and in progress.

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

Processes for identifying and managing risks, investigating incidents and accidents, and for receiving and acting on safety alerts were not established or effective.

The practice had systems and processes for quality assurance which included undertaking audits.

Concerns and complaints were responded to appropriately.

Systems of accountability to support good governance were not effectively applied.

We did not look at Partnerships and communities during this assessment. The score for this quality statement is based on the previous rating for Well-led.

We did not look at Learning, improvement and innovation during this assessment. The score for this quality statement is based on the previous rating for Well-led.