Thorley 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.

The provider had made improvements in relation to the regulatory breach we found at our inspection on 3 March 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 5 November 2025, we found the practice had made the following improvements to comply with Regulation 17 of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014:

All emergency equipment and medicines were available, and these were being checked in accordance with national guidance.

An Electrical Installation Condition Report (EICR) had been completed and the condition was recorded as satisfactory.

A fire risk assessment had been carried out and all actions completed. The fire alarm was now being tested and serviced on a regular basis, and emergency lighting had been fitted.

Risk assessments to minimise the risk that could be caused from substances that are hazardous to health and data safety sheets had been completed and included all necessary substances.

All staff members had a Disclosure and Barring Service (DBS) certificate of the correct level. All clinical staff had evidence of immunity to Hepatitis B.

The practice had a process in place to ensure staff training was up to date and reviewed at the required intervals. We saw that all staff had completed training in basic life support. Improvements were still required to ensure that staff had completed safeguarding training. The practice told us that this would be completed.

Improvements had been made to the infection prevention and control (IPC) process. The water being used was temperature and volume checked. We were told that the IPC audit was being carried out on a regular basis according to guidance. Cleaning schedules were now being completed.

Clinical records were now being stored securely.
 

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.