York Road 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 breaches we found at our inspection on 8 July 2025.

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.

During the inspection we found staff to be open to discussion and feedback. Improved systems and processes had been developed and implemented, and staff worked together in such a way that the inspection did not highlight significant issues or omissions.

The practice staff demonstrated a transparent and open culture in relation to people’s safety.

The provider demonstrated commitment to delivering safe, sustainable and high-quality care. The findings from the previous inspection had been discussed during team meetings, and there was clear evidence that staff had worked collaboratively to implement the required improvements.

The information and evidence presented during the assessment was clear and well documented.

The practice had a governance system which included policies, protocols and procedures that were accessible to all members of staff and were reviewed on a regular basis.

The practice had clear and effective processes for identifying and managing risks, issues, including areas such as fire and premises safety, Control of Substances Hazardous to Health (COSHH), secure storage of patient care records and the management of medicines and medical emergencies.

The practice had reviewed and updated their Closed-Circuit Television (CCTV) policy, which now accurately reflected the arrangements in place within the service. All cameras located within the practice had appropriate signage. Additionally, the practice had carried out a Privacy Impact Assessment to ensure that the use of CCTV complied with data protection legislation and that any risks to the privacy of staff, patients, and visitors were identified and mitigated.

The practice had strengthened their systems and processes for learning, quality assurance and continuous improvement. The most recent infection prevention and control and antimicrobial prescribing audits were aligned with current guidance and included a detailed action plan to drive meaningful improvement within the service.

The practice had implemented a more inclusive and structured approach to gathering patient feedback. A patient satisfaction survey, accessible to all patients including those without internet access, had been conducted. Responses were analysed for trends and areas of improvement, supporting a culture of continuous service development.

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.