Ormond Terrace Dental

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 and treatment 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 inspection on 6 February 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.

Processes

Atthe follow-up inspection on 19 May 2025 we found the practice had made the following improvements to systems and processes to comply with the regulation.

The practice had systems to manage risks. Risk assessments were in place for staff handling sharps, particularly those staff with no confirmed immunity to blood-borne viruses.

Recruitment procedures reflected current legislation. We saw that the practice now held documentary evidence of indemnity for clinicians working at the practice, particularly those in extended areas of clinical practice, for example, treatment under conscious sedation.

Infection control procedures followed published guidance. Facilities had been provided for staff workwear storage, and cleaning equipment was stored in line with infection control standards.

Patients’ care and treatment was provided in line with current guidance. Protocols were now in place to effectively oversee patient recovery for those patients who had undergone treatment under sedation.

Labelling of medicines was updated to ensure this meets regulatory requirements.

At the time of our inspection, we found that patients could access care, support and treatment when required. Signage had been installed giving contact details for emergency access for those patients requiring urgent treatment when the practice was closed.

The practice processes for clinical audit supported continuous improvement; patient consent to treatment was being checked at each appointment, and was audited to drive improvement in clinical record keeping.

These improvements meant that the provider had taken necessary steps to address the breaches identified at our previous inspection, and was now compliant with regulations.

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.