Upton 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 and were reviewed on a regular basis.

Systems and processes were embedded, and the inspection did not highlight any issues or omissions.

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.

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

The practice had systems and processes for learning, quality assurance and continuous improvement. This included undertaking audits according to recognised guidance.

Concerns and complaints were responded to appropriately, and outcomes were discussed to share learning and for improvement.

Staff had clear responsibilities, and systems of accountability to support good governance.

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. For example, staff suggested improvements to the practice environment, which led to the installation of a handrail to improve safety on the stairs. Staff also highlighted the need to update the practice website following changes in personnel, and this was actioned. In addition, audit findings and improvement opportunities were discussed during team meetings, with agreed actions implemented to strengthen processes and governance arrangements.

The practice actively sought and responded to feedback from patients, the public and external partners. It routinely reviewed patient surveys, online reviews and complaints to identify learning, drive service improvements and enhance the patient experience.

The practice had taken steps to improve environmental sustainability. For example, the practice reviewed its waste management processes and introduced improved segregation of clinical and non-clinical waste to reduce waste and increase recycling where appropriate. The practice also used digital systems, including electronic patient records and digital consent processes, to minimise paper consumption. Energy-efficient measures, such as LED lighting and switching off equipment when not in use, helped reduce energy usage. In addition, stock management processes had been improved to minimise over-ordering and wastage, promoting a more efficient use of resources and reducing the environmental impact of the service.

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.