During an assessment under our new approach
We carried out this announced on-site inspection on 22 May 2026.
We found the practice had not met all regulations.
The practice did not have effective systems to identify, assess, and manage risks to patients and staff. Improvements were required to ensure that risks relating to fire safety, Legionella and the delivery of the regulated activity were effectively identified, monitored, managed, and mitigated through robust governance and oversight arrangements.
The practice recruitment procedures did not reflect current legislation.
Staff provided care and treatment in line with current guidance. However, improvements were required to ensure that the treatment provided to patients was adequately documented in the patient care records.
There was a lack effective leadership and a culture of continuous improvement.
The practice infection control procedures reflected published guidance.
Staff had the skills, knowledge and experience to carry out their roles.
Staff provided care and treatment in line with current guidance. They treated patients with dignity and respect and ensured access to care, support, and treatment when required.
The practice is in Kilburn, in the London Borough of Bent, and provides NHS and private dental care and treatment for adults and children.
The practice was located on the first and second floors of a high-street building and was not accessible to wheelchair users. Patients were informed of this when contacting the practice and were signposted to a nearby practice that was accessible to wheelchair users. Off-street parking and public transport services were available near the practice.
The practice had 3 treatment rooms. At the time of our inspection, there was a total of 9 staff, of which there were 5 dentists, 2 dental nurses, 1 receptionist and the practice manager. We gathered feedback from staff and spoke to a range of staff during our inspection, including the principal dentist, 1 associate dentist, 1 dental nurse,1 receptionist and the practice manager.
The provider was not complying with regulation 17 (Good governance) of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014. Full details of the regulation the provider was not meeting are within the inspection report.
In instances where CQC has begun a process of regulatory action, we may publish this information on our website after any representations and/or appeals have been concluded, if the action has been taken forward.