Nunneleyhouse 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 24 February 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 9 June 2026, we found the practice had made the following improvements to comply with the regulation:

We saw there were effective processes for identifying and managing all risks, issues and performance, including the management of fire safety, electrical safety, waste management and the control of substances hazardous to health (COSHH).

We received assurances from the provider that there would be effective governance and oversight arrangements in place to support quality assurance, as well as the ongoing monitoring and mitigation of risks moving forward. A matrix had been put in place which covered daily, weekly, monthly and annual tasks to ensure all required tasks were carried out.

We found improvements to clinical waste management in accordance with the relevant regulations, taking into account the guidance issued in the Health Technical Memorandum (HTM) 07-01. A contract had been put in place for the waste collection, providing assurance that the provider had an agreement with an authorised waste carrier, as required under the Environmental Protection Act 1990 and HTM 07-01. Improvements had also been made to the storage arrangements for clinical waste.

Both members of staff had carried out an Emergency First Aid at Work course which included face-to-face medical emergency training.

An annual appraisal had been carried out with the trainee dental nurse.

We found the damaged seating in the patient waiting room and the treatment room had been repaired. The flooring in the treatment room, waiting room and hallway had been replaced.

Control of Substances Hazardous to Health (COSHH) risk assessments and safety data sheets were available to all staff.

We were provided with a disability access audit; a comprehensive assessment of the building and service to identify barriers for people with impairments. It ensures compliance with the Equality Act 2010 (UK) by recommending "reasonable adjustments" to improve accessibility.

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.