Chester Road 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 not providing well-led care in accordance with the relevant regulations. We will be following up on our concerns to ensure the provider has made the required improvements.

During our assessment of this key question, we found:

Systems and processes to assess, monitor and mitigate the risks relating to the health, safety and welfare of service users and others who may be at risk were not effective.

Systems and processes to assess, monitor and improve the quality and safety of the services being provided were not effective.

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

You can find more details of our concerns in this report.

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 22 October 2025, we found the following:

The practice’s processes for identifying and managing risks, were not always effective. Improvements were required to ensure that the practice’s systems and processes were followed, and risks managed appropriately. In particular, the risks associated with fire safety, radiation protection, antimicrobial prescribing and the oversight of medical emergency arrangements.

Improvements were required to the systems and processes for learning, quality assurance and continuous improvement. In particular, improvements were required to the radiography audit to ensure the sample size is in line with recognised guidance and quality assurance of the images is carried out. In addition, even though the antimicrobial prescribing audit had identified the need to review the course duration, this had not resulted in improvement for all clinicians.

We did note some improvements had been made since the inspection on 30 January 2025.

The practice had made improvements to some governance systems which included policies, protocols and procedures and they were more accessible and readily available for staff.

The practice had implemented effective systems for receiving and acting on patient safety alerts, recalls and rapid response reports.

The practice had implemented an incident and accident reporting policy.

Improvements had been made to ensure the practice responded to concerns and complaints appropriately. However, these were yet to be embedded to ensure they were consistently followed.

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.