Updated 2 March 2026
We carried out this announced inspection on 13 March 2026.
We found the practice had not met all regulations.
The practice did not have effective systems to manage risks. Improvements were needed to how the practice assessed and mitigated the risks associated with fire, legionella, and general health and safety.
The practice recruitment procedures did not always reflect current legislation.
Staff had the skills, knowledge and experience to carry out their roles. However, improvements were required to ensure systems in place to monitor staff training were effective.
Although the practice had some systems in place to support continuous improvement, there was a lack of effective leadership.
Infection control procedures reflected published guidance.
Staff provided care and treatment in line with current guidance. They treated patients with dignity and respect and ensured access to care, support, and treatment when required.
The practice is located on the ground floor of Northwick Park Hospital and provides NHS and private dental care and treatment for adults and children.
There was step-free access to the practice and car parking spaces available within the hospital grounds, including dedicated parking for disabled people.
The practice had 3 treatment rooms. At the time of our inspection, there was a total of 16 staff, of which there were 5 dentists, 4 qualified dental nurses, 2 trainee dental nurses, 3 dental hygienists, 1 receptionist and the practice manager. We gathered feedback from staff and spoke to a range of staff during our inspection, including the principal dentist, 1 associate dentist, 1 dental hygienist, 1 dental nurse, 1 receptionist and the practice manager.
The service provides cosmetic treatments, some of which are not in scope of CQC regulation and are not covered in our inspection.
The provider was not complying with regulation 17 (Good governance) of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014. Full details of the regulation the provider was not meeting are within the inspection report.
We have asked the provider for an action plan in response to the concerns found at this inspection.