Pennington Dental Care Kenilworth

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 significant issues or omissions. Areas requiring improvement were acted on immediately.

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. Signed documents were stored electronically in patient records, this helped to improve data security.

Relevant policies and protocols were in place for the use of closed-circuit television (CCTV).

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. Although radiography audits were being completed these were not being completed at the required frequency. We were assured that these would be completed every 6 months going forward.

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. Staff reported that they were actively involved in the development and ongoing improvement of the practice. They felt encouraged to share ideas and suggestions to enhance patient care and were regularly consulted on future plans and changes affecting the practice. Staff described open communication, opportunities to contribute to decision-making, and a collaborative approach to planning and service development.

The practice gathered feedback from patients, the public and external partners, and responded accordingly.

The practice had taken steps to improve environmental sustainability. For example, lights and equipment were turned off when not in use and waste was recycled wherever possible. We were told that the practice used environmentally friendly products such as paper cups and patients had the use of the electronic tablet for documentation signing which reduced the use of paper. The practice was trying to become paperless with the majority of policies and documentation being available on the computerised compliance system. Staff confirmed that they recycled wherever possible. Back-to-back appointments were offered, for example with the dentist and directly after with the hygienist to reduce patient travel time and visits.

Staff described the practice as well organised, with effective systems and processes in place to support the delivery of care. They highlighted strong teamwork, regular auditing and record management processes, and a collaborative culture where colleagues supported one another. Staff felt that the practice ran smoothly, with clear systems helping to ensure good governance and continuity of care.

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.