Ealing Dental Care

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 31 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.

There was a significant improvement to leadership and oversight of the practice. The provider had hired a practice manager to help with day-to-day running of the practice. We saw evidence that systems and processes were embedded. Policies had been updated and distributed to staff. The provider had started using an online system which would prompt them to review and update policies and risk assessments annually.

We reviewed a number of staff files which contained all the information required by the Health and Social Care Act (2008). Continuing Professional Development (CPD) certificates were up-to-date and the provider had implemented a system to identify which subjects were due and when. As part of their fire safety training, the provider had recorded a video of the trainer demonstrating how to use the extinguisher. This video was sent to the practice’s messaging group so that staff could access and rewatch it at any time.

There were improvements to processes for identifying, monitoring and mitigating all risks which arise from the carrying on of the regulated activity. For example, fire and Legionella risk assessments had been re-done, and recommendations had been actioned. Risk assessments and safety data sheets were available for all hazardous substances used in the practice.

The provider had completed a new, comprehensive sharps risk assessment, and sharps bins were moved to the windowsill to minimise access and risk of harm to patients.

We saw daily and weekly checklists consistently completed by staff to ensure firefighting equipment and sterilisation equipment were in working order. Medical emergencies medicines were checked in line with guidance and expiry dates noted to ensure they were replaced before expiry.

The practice had improved arrangements to ensure the safety of the X-ray equipment and the required radiation protection information was available. We saw the 2 outstanding 3-yearly performance certificates for the X-Ray machines and the provider was able to demonstrate that they had actioned the recommendations on the report.

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. Computers were password protected and locked when staff left them.

The provider had made improvements to their systems for learning, quality assurance and continuous improvement. Since the last inspection, they had re-done all their audits which included radiography, infection prevention and control, and record-keeping. Audits had been completed for each clinician to identify themes and drive improvement. The provider had implemented a system in the calendar to ensure audits would be completed at the correct intervals according to recognised guidance.

Previously, complaints were not fully documented. The provider showed us a detailed log they had created to ensure full oversight and documentation of complaints.

Improvements had been made to the practice’s business continuity plan which considered various emergency scenarios and how the practice would manage them.

Closed Circuit Television (CCTV) procedures had been improved and the provider had completed a Data Protection Risk Assessment to identify any associated risks.

We saw prescriptions were stored securely and monitored as described in current 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.