Durley Avenue Dental Practice

On this page

• Overview
• Learning culture
• Safe systems, pathways and transitions
• Safeguarding
• Involving people to manage risks
• Safe environments
• Safe and effective staffing
• Infection prevention and control
• Medicines optimisation

We found this practice was providing safe care in accordance with the relevant regulations.

The provider had made improvements in relation to the regulatory breaches we found at our inspection on 13 May 2025.

Find out what we look at when we assess this area in our information about our new Single assessment framework.

The judgement for Learning culture is based on the latest evidence we assessed for the Safe key question.

The judgement for Safe systems, pathways and transitions is based on the latest evidence we assessed for the Safe key question.

The judgement for Safeguarding is based on the latest evidence we assessed for the Safe key question.

The judgement for Involving people to manage risks is based on the latest evidence we assessed for the Safe key question.

Staff and leaders told us of the systems in place to manage risks for patients, staff, equipment and the premises.

At the inspection on 25 November 2025, we found the practice had made the following improvements:

The practice had effective processes to identify and manage risks.

Emergency equipment and medicines were available and checked in accordance with national guidance and staff could access these in a timely way. Improvements had been made to ensure checks of equipment were robust. Staff knew how to respond to a medical emergency and had completed training in emergency resuscitation and basic life support every year.

Improvements had been made to ensure the management of fire safety was effective. A new fire detection system had been installed, and periodic testing and checks of the alarm system, emergency lighting and fire extinguishers were completed.

The practice had reviewed their systems for appropriate and safe management of medicines to ensure anti-microbial prescribing guidance was followed, and a log was in place to monitor and track the use of prescriptions.

At the inspection on 25 November 2025, we found the practice had made the following improvements to comply with the regulations:

The practice had a recruitment policy and procedures that reflected relevant legislation, to help them employ suitable staff, including agency or locum staff. Improvements had been made to ensure information relevant to staff employment in their role as required under Schedule 3 of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014 was available. Improvements were ongoing to ensure complete and detailed records were maintained for all staff.

Improvements had been made to the arrangements to ensure staff training, including continuing professional development (CPD), was up-to-date and reviewed at the required intervals.

Staff had the skills, knowledge and experience to carry out their roles, and were able to demonstrate this. They told us that there were enough staff on duty at all times.

The processes to support and develop staff with additional roles and responsibilities had been reviewed. Appraisals and 1 to 1 meetings for staff to discuss their learning needs, general wellbeing, and aims for future professional development were well documented.

The judgement for Infection prevention and control is based on the latest evidence we assessed for the Safe key question.

The judgement for Medicines optimisation is based on the latest evidence we assessed for the Safe key question.