Goodleigh 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.

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 practice had a governance system overseen by a knowledgeable and empowered practice manager and supportive practice management team. They had policies and procedures, which were accessible to staff and were reviewed on a regular basis.

Systems and processes were embedded and the inspection did not highlight any issues or omissions.

Staff were aware of the importance of protecting patients’ personal information. Staff password protected patients’ electronic care records and paper records were stored securely and complied with General Data Protection Regulations (GDPR). Electronic tablets were used to store signed documents electronically in patient records, this helped to improve data security.

Relevant policies and protocols were in place for the use of closed-circuit television (CCTV).

There were effective processes for identifying and managing risks, investigating incidents and accidents and for receiving and acting on safety alerts.

The practice had systems and processes for learning, quality assurance and continuous improvement. This included undertaking audits according to recognised guidance.

Concerns and complaints were responded to appropriately and outcomes were discussed to share learning and for improvement.

We noted innovative approaches to providing person centred care. The practice was taking part in an Integrated Care Board pilot, providing domiciliary dental support to care homes with regular visits from dental care professionals to attend and treat patients in their homes. The practice provided urgent out of hours dental cover for the NHS 111 service. In addition, the practice had identified the presenting needs of the local demographic and developed an oral health promotion programme for children. Staff attended local schools to promote oral health education and encourage good diet and prevention of dental decay, ensuring where required dental services and treatment were provided. We noted during our inspection the practice actively encouraged the attendance of infants and young children to see the dentists to encourage parental awareness and familiarisation of the dental practice for the very young patients.

Staff had clear responsibilities and systems of accountability to support good governance.

Staff feedback was obtained through meetings, social media groups and informal discussions. They were encouraged to offer suggestions for improvements to the service and they said these were listened to and acted upon, where appropriate. The practice provided financial support for staff with training, indemnity and their clinical registration. Staff described the ongoing extension of the premises to include additional treatment rooms, a new reception area, a new decontamination room and extended staff, office and meeting areas on a third floor.

The practice gathered feedback from patients, the public and external partners and responded accordingly. Patient surveys were undertaken and the practice reviewed and responded to feedback. Staff described how these were discussed at team meetings to drive improvement.

The practice had taken steps to improve environmental sustainability. For example, reducing the use of paper for printing by having electronic patient records and governance systems and encouraging recycling where possible.

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.