Manor Park Family Dental Centre

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 identify any significant issues or omissions. Areas for improvement were acknowledged by the provider, and actions taken to begin implementing the required improvements were shared with us shortly after the inspection.

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 in place to support learning, quality assurance, and continuous improvement. However, we identified that improvements were required in relation to radiography and antimicrobial prescribing audits to ensure they were aligned with recognised guidance and consistently included all clinicians.

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

We noted an innovative approach to providing person centred care, for example, the provider had created a patient information leaflet and a booklet which had contents such as, health and wellbeing, an eat well guide, a leaflet on common jaw problems, a mouth and neck cancer self-check guide and sepsis awareness.

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

Staff feedback was obtained through meetings, surveys, 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 requested the use of online delivery services for practice consumables and cleaning materials. This reduced the need for staff to leave the practice to shop and proved to be more cost effective.

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, reducing energy use and recycling.

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.