Bathampton 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 not providing well-led care in accordance with the relevant regulations.

Systems and processes were not entirely embedded which highlighted a number of issues that included the control of substances hazardous to health, infection prevention and control, and the management of fire safety.

Although there are issues to be addressed, the impact of our concerns relates to the governance and the oversight of the risks, rather than a patient safety risk.

We will be following up on our concerns to ensure the provider had made the required improvements.

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.

Systems and processes were not entirely embedded which highlighted a number of issues that included the control of substances hazardous to health, infection prevention and control, and the management of fire safety.
The practice had a governance system that included policies and procedures, which were accessible to staff and were reviewed on a regular basis.
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.

There were effective processes for 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.

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

Staff feedback was obtained through meetings 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. For example, a WhatsApp group was created to enable staff to notify of any potential stock requirements or suggest alternative products to be used and give feedback on any new products introduced.

The practice gathered feedback from patients and responded accordingly.

The practice had taken steps to improve environmental sustainability. Staff recycled, turned off lights and equipment when not being used and avoided using paper when electronic communication was available.

The practice went over and above by visiting drop-in centres and hostels to support the oral health of individuals living in their own environment. Staff also provided refreshments and food for people who were experiencing homelessness.

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.