Hazelwood 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 providing well-led care in accordance with the relevant regulations and had taken into consideration appropriate guidance.

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.

There were gaps in information relating to some governance processes available prior to the announcement of our inspection so it was difficult to ascertain whether all systems and processes were embedded. The inspection did not highlight any significant issues or omissions. The provider was responsive to our feedback and areas requiring improvement were acted on following our inspection.

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 in patient records, this helped to improve data security.

There were processes for identifying and managing risks, investigating incidents and accidents and for receiving and acting on safety alerts.

The practice had some systems and processes for learning, quality assurance and continuous improvement. This included undertaking audits in infection prevention and control. Clinical record keeping and antimicrobial prescribing audits were not carried out and radiograph 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 listened to and acted upon, where appropriate.

The practice gathered feedback from patients, the public and external partners, and responded accordingly.

The practice had taken steps to improve environmental sustainability. For example, recycling where possible and energy saving.

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.