Wycherleys 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.

The provider had made improvements in relation to the regulatory breach we found at our inspection on 22 April 2026.

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.

At the inspection on 16 September 2026, we found the practice had made the following improvements to comply with the regulation:

The practice had invested in a compliance system to improve oversight to ensure staff training, including continuing professional development, was up-to-date and reviewed at the required intervals.

Staff recruitment processes were in accordance with Schedule 3 of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014. In particular, Disclosure and Barring Service (DBS) checks were carried out at the point of recruitment and risk assessments were completed for 2 new members of staff recruited since our initial inspection on 22 April 2026.

Servicing of the autoclaves and emergency lighting had been carried out.

There were improvements to the oversight of radiation protection. Actions from the Radiation Protection Advisor (RPA) report had been addressed. The cone-beam computed tomography (CBCT) had been serviced and there was a Radiation Protection Supervisor (RPS) letter of appointment in place. An RPS monthly checklist was in place to check X-ray and CBCT equipment. The practice local rules had been updated in accordance with current guidelines.

Security of medicines for dispensing had been improved to ensure all medicines were stored and dispensed of safely and securely.

The practice had also made further improvements:

We found all items were pouched according to HTM 01-05 guidance following the sterilisation process.

The practice had procedures to reduce the risk of Legionella, or other bacteria, developing in water systems, in line with a risk assessment and current guidance. Hot and cold-water temperature checks were carried out and documented monthly, and a cleaning log was in place to remove limescale from taps.

Protocols to ensure effective environmental cleaning was carried out. A cleaning schedule was implemented following our inspection.

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.