Sleep Lane Smiles

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 and had taken into consideration appropriate guidance.

The provider made improvements in relation to the regulatory breach we found at our on-site inspection on 6 November 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 focused follow-up inspection on 8 April 2026, we found the practice had made the following improvements to comply with the regulations.

The practice had carried out Control of Substances Hazardous to Health (COSHH) risk assessments in relation to the safe storage and handling of all of the substances hazardous to health that were in use by staff.

COSHH applicable substances were stored securely.
Signage to warn of the presence of oxygen was present at the front of the practice.

Evidence was available to confirm that electro-mechanical checks had been undertaken for the 4 X-ray units.

Dispersible aspirin was available.

A child self-inflating bag with reservoir was available.

Evidence was not available to confirm that checks of medical emergency equipment were effective.This shortfall was addressed immediately.

The front door of the practice had adequate means of escape signage in place.

Evidence was available to confirm that emergency lighting had been inspected in the previous 12 months.

Emergency lighting was subject to monthly testing.

The fire risk assessment had been undertaken by some who could demonstrate competence in the management of fire safety.

The practice had a recruitment policy and procedures that reflected relevant legislation and supported the safe recruitment of suitable staff.

The practice ensured staff training, including continuing professional development, was up-to-date and reviewed at the required intervals.

Clinical staff members’ footwear was suitable for a clinical environment.

Surgery 4’s treatment room chair and operator stool coverings had been repaired.

Cleaning equipment was stored apart to prevent the risk of cross contamination.

An external clinical waste bin was tethered to a fixed point to prevent unauthorised removal.

The practice had effective procedures to reduce the risk of Legionella, or other bacteria, developing in water systems, in line with a risk assessment and current guidance.

Staff had carried out a disability access audit and had an action plan to continually improve access for patients.

Completed accident records were stored securely.

Completed complaint records were stored securely.

We noted 2 shortfalls that remained outstanding:

External rubbish bins were not stored in a way to prevent unauthorised interference and potential arson.

The female sanitary waste facility in the wheelchair accessible toilet did not meet the needs of a wheelchair user.

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.