Archived: Kimbolton 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 now 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 24 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 1 July 2025, we found the practice had made the following improvements to comply with the regulations:

An Electrical Installation Condition Report (EICR) had been completed in April 2025, with the outcome recorded as satisfactory.

A fire risk assessment had been completed by an external company and all actions resulting from this had been completed. We saw that the practice was carrying out all required testing and maintenance of the fire systems.

Hazardous substances were stored safely.

We were told that references had been requested for the newly recruited staff members. Additionally, we saw that staff had obtained evidence of immunity to Hepatitis B. This highlighted that 2 staff members did not have suitable levels of immunity. This was being followed up and an associated risk assessment had been completed.

We saw that improvements had been made to the decontamination of used dental instruments, which now aligned with national guidance.

Improvements were still required to ensure the practice’s sharps procedures were compliant with the Health and Safety (Sharp Instruments in Healthcare) Regulations 2013. Safer sharps were not being used, for example needle-blocks to remove and hold the needle cap which allow safe one-handed recapping. The practice manager told us that these could not be sourced. However, following feedback, we were told that these would be purchased. We were told that dentists were now dismantling used sharps, and the sharps bin had been moved into the treatment room.

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.