Archived: Highview Dental Practice

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• 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 12 March 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.

At the inspection on 28 May 2025, we found the practice had made the following improvements to comply with the regulation:

Medical emergency equipment checks were working effectively. This meant the provider was able to identify when items were missing or out-of-date.

We saw satisfactory records of servicing and validation of all equipment in line with manufacturer’s instructions. The engineer had been to the practice to service the gas boiler, however had found an issue which needed further work. The provider was awaiting a return visit to rectify this. The air conditioning units had been serviced.

Processes to safely manage radiography had improved. Local rules were up to date, X-ray warning signs were displayed on treatment room doors and the OPG (orthopantomograph) isolation switch was labelled. We saw X-ray servicing certificates for both the OPG and the intra-oral X-ray machine. Annual electromechanical serving of the X-ray equipment had been carried out and actions been addressed from the critical examination report such as the use of rectangular collimators.

There remained a lack of an effective system that easily enabled the provider to maintain oversight of staff training and continuing professional development. As such, the provider was still unable to identify that some training had expired and required refreshing. We found 3 out of 6 staff had now completed the recommended training, however the provider was unable to confirm whether the remaining staff had completed this. The provider told us they would set up a system on their compliance software going forward which would provide oversight of staff training.

The provider had introduced an appraisal system for conducting annual appraisals with staff. The provider told us they would conduct the appraisals in June 2025.

The provider had implemented an appropriate role specific induction for new starters.

Formalised meetings had been introduced to enable staff and the provider to identify support and development needs.

Audits were effective. The clinical record audit identified areas for improvement and the frequency of the infection control audit was in line with recommended guidance.
 

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.