Loddon Bridge Road Dental Practice

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• 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 on-site inspection on 16 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.

Hazardous substances were stored in line with the control of substances hazardous to health (COSHH) regulations.

COSHH risk assessments were available for every COSHH identified product used in the practice.

COSHH safety data sheets were available for the products used by the out of hours cleaner.

COSHH safety data sheets were available for every COSHH identified product used in the practice.

Records to confirm that the fire alarm was tested and maintained appropriately were available.

Records to confirm emergency lights were tested appropriately were available.

Records to confirm that annual maintenance of the emergency lighting had been carried out was unavailable. The manager immediately booked a service to take place on 18 March 2026.

The fire safety risk assessment had been carried out by someone who could demonstrate competency in fire safety management.

The most recent annual fire drill took place in September 2025.

The gas boiler annual service was serviced in July 2025.

The practice had a system to check the safety of portable appliances.

Electromechanical servicing of the 3 intraoral X-ray machines and the Orthopantomography (OPG) X-ray machine was carried out appropriately.

CBCT (Cone Beam Computed Tomography) quality assurance tests were carried out.

Oral glucose was present in the emergency medicines kit.

Buccal midazolam was present in the emergency medicines kit.

Expired equipment and medicines were removed from the emergency medicines kit when new equipment was added.

Sepsis detection and management information was available in the practice.

NHS prescriptions were stock controlled effectively and stored securely.

Dispensed medicines were stock controlled appropriately.

Environmental cleaning checklists were in place.

Evidence to confirm staff had oversight of the standard of cleaning was available.

Cleaning equipment was stored appropriately to prevent cross contamination.

Local anaesthetic ampules, stored in treatment room drawers, were individually sealed to prevent contamination.

Dental instruments, stored in treatment room drawers, were routinely pouched to prevent contamination.

Manual scrubbing was carried out in line with national infection prevention and control guidance.

A legionella risk assessment had been carried out by someone who could demonstrate competency in the management of legionella.

Staff carried out monthly temperature testing of water.

Dip slides to assess the 'general health' of water were carried at appropriate intervals.

The practice had a named person responsible for the management of legionella.

A closed-circuit television (CCTV) privacy impact assessment was available.

A CCTV privacy notice which included rationale for the CCTV and contact details of the data controller was available for patients and visitors.

Staff meetings were carried out at appropriate intervals.

Patient feedback surveys were carried out.

Radiography audits were completed appropriately and carried out six monthly in line with national guidance.

The practice had an infection prevention and control lead.

Infection prevention and control audits were completed appropriately and carried out six monthly in line with national guidance.

A general data protection regulation (GDPR) compliant accident record book was available.

Completed accident records were placed in secure storage.

The practice assured themselves that all of the labs used by the practice were registered with the Medicines and Healthcare products Regulatory Agency (MRHA).

We noted 3 shortfalls that remained outstanding:

Sanitary waste disposal facilities did not meet the needs of wheelchair users.

Glucagon was stored in the medical emergency bag. The expiry date had not been reduced to reflect this storage arrangement.

Syringes were not available to administer adrenaline.
 

We were assured that these shortfalls would be addressed as soon as practicably possible.

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.