Dental Perfection Branston

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

During our inspection of this key question, we found a lack of systems or processes that enabled the registered person to assess, monitor and improve the quality and safety of the services being provided. There was also a lack of systems for safe and effective recruitment of staff and monitoring of staff training.

This resulted in a breach of Regulations 17 and 19 of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014.

You can find more details of our concerns in the detailed findings below.

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.

The practice had a governance system that included policies and procedures, which were accessible to staff and were reviewed on a regular basis. Systems and processes to support effective oversight were not embedded.

Some areas of improvement were acted on following our inspection demonstrating the practices commitment to improving the service for both staff and patients.

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. Electronic tablets were used to store signed documents electronically in patient records, this helped to improve data security.

Processes for identifying and managing risks were not always clear and effective.

Risk assessments had not been carried out for staff who did not have a DBS check at the point of recruitment. No risk assessments were carried out for staff who were not covered by the Hepatitis B vaccination. This was implemented following our inspection.

Recruitment files were available on the premises however, the practice was not working in accordance with their recruitment policy as not all of the required pre-employment information was available for all staff.

There was scope for improvement with the practice’s systems and processes for learning, quality assurance and continuous improvement. Radiography audits were not carried out in accordance with guidelines as only 1 clinician’s records were audited every 6 months. Antimicrobial prescribing and clinical record keeping audits were not clinician specific.

Concerns and complaints were responded to appropriately and outcomes were discussed to share learning and for improvement.

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 sometimes listened to and acted upon, where appropriate.

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.