Watford Smiles - 107 Hempstead Road

On this page

• Overview
• Shared direction and culture
• Workforce equality, diversity and inclusion
• Governance, management and sustainability

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 25 September 2024.

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 Workforce equality, diversity and inclusion is based on the latest evidence we assessed for the Well-led key question.

At the inspection on 23 April 2025 we found the practice had made the following improvements to comply with the regulation:

The practice’s governance arrangements had improved to ensure sustainability in the longer term.

Staff and leaders told us of the systems in place to manage risks for patients, staff, equipment and the premises.

Processes for identifying and managing risks had improved. There was improved oversight and effective systems in place for the monitoring of the risks associated with fire safety and the use of X-rays.

Recruitment processes had been strengthened and were in line with legislation.

NHS prescription pads were now stored securely, and the practice recorded the medicines received and dispensed to patients so that there was an effective system to monitor the stock of medicines kept at the practice.

We looked at a sample of patient care records. The information recorded in these patient care records was in line with recognised guidance.

The practice had also made further improvements:

Improvement had been made to infection control procedures so that they were in line with published guidance.