Durley Avenue 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.

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 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.

At the inspection on 28 October 2025, we found the practice had made the following improvements to comply with the regulations:

The practice had taken action to address the issues identified at the previous inspection and improve the oversight and leadership at the practice. Effective systems and processes had been implemented and embedded within the practice.

The practice had reviewed their governance system that included policies and procedures, to ensure these were accessible to staff and were reviewed on a regular basis.

Improvements had been made to the processes in place for identifying and managing risks effectively, specifically in relation to fire safety, Legionella and staff recruitment and training.

A new risk assessment had been completed to reduce the risk of Legionella, or other bacteria, developing in water systems. Recommendations identified within the risk assessment were in the process of being actioned.

The practice had improved the systems and processes for learning, quality assurance and continuous improvement. Action had been taken to improve the auditing process and ensure these were completed according to recognised guidance, with learning points documented.

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.