Dental Excellence

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 on-site inspection on 24 March 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 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 focused follow-up inspection on 27 June 2025, we found the practice had made the following improvements to comply with the regulations.
Weekly fire alarm manual call point tests were carried out in rotation.

A three yearly quality assurance test for the CBCT machine was available.

Medical emergency equipment was available and fit for use.

Staff uniforms and outdoor clothes were stored appropriately to prevent cross contamination.

External clinical waste bins were tethered to a fixed point to prevent unauthorised removal.

Adjustments were in place for disabled people who wished to use the accessible toilet.

An annual infection prevention and control statement was available.

The floor seal under the cabinetry in treatment room 3 was complete and impervious.

X-ray film positioners were stored in treatment room drawers appropriately.

Dispensed medicines were stock controlled.

Dental care records were completed in line with recognised guidance.

Staff obtained patients’ consent to care and treatment in line with legislation and guidance.

The window in treatment room 2 protected the privacy and dignity of a patient when sat in the treatment chair.

A closed-circuit television (CCTV) privacy impact assessment was available.

The latest record keeping, infection prevention and control and health and safety audits were completed correctly.

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.