St Mark Dental Surgery

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 had made improvements in relation to the regulatory breach we found at our inspection on 6 January 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 inspection on 28 July 2025, we found the practice had made the following improvements to comply with the regulation:

Complaints information was available for patients to view in the practice.

The sharps risk assessment had been updated.

Fire alarms and emergency lights were being tested on a regular basis and fire evacuation drills were being completed. However, we saw that not all high priority actions highlighted in the fire risk assessment dated November 2024 had been carried out. Actions were still required to ensure these were completed.

An infection prevention and control (IPC) audit had been completed by the provider, yet this was not fully reflective of the processes in the practice. Improvements were required to ensure that the audit was correctly completed.

The risk assessments to minimise the risk that could be caused from substances that are hazardous to health had been updated. However, further improvements were required to ensure that manufacturer safety data sheets were available for all hazardous materials.

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.