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

The provider had made insufficient improvements to put right the shortfalls and had not responded to the regulatory breach we found at our inspection on 10 September 2025. We have told the provider to take action. We will be following up on our concerns to ensure the provider has 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.

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 provider’s systems for governance and oversight of the service were ineffective and their implementation at the service was not monitored effectively.

Processes were established but not implemented by staff, to ensure required monitoring checks to confirm the effective operation of fire detection and suppression equipment were carried out in line with guidance. Staff could not consistently demonstrate the process and equipment used to carry out these checks.

Processes were not established to ensure required monitoring checks to reduce the risk and spread of Legionella were carried out in line with guidance. Staff could not consistently demonstrate the process and equipment used to carry out these checks.

Required audits of infection prevention and control and radiography were not carried out in line with guidance. We were only provided with one audit of infection prevention and control; this did not reflect our findings at this or our previous inspection. Audits of radiography used a low level of acceptance for images, action plans and learning were not developed.

Monitoring of recruitment processes were not effective in ensuring required pre-employment information was available for all staff.

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.