Broadway Dental Studio

On this page

• Overview
• Learning culture
• Safe systems, pathways and transitions
• Safeguarding
• Involving people to manage risks
• Safe environments
• Safe and effective staffing
• Infection prevention and control
• Medicines optimisation

We found this practice was providing safe care in line 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 Learning culture is based on the latest evidence we assessed for the Safe key question.

The judgement for Safe systems, pathways and transitions is based on the latest evidence we assessed for the Safe key question.

The judgement for Safeguarding is based on the latest evidence we assessed for the Safe key question.

The judgement for Involving people to manage risks is based on the latest evidence we assessed for the Safe key question.

The practice identified and managed risks effectively and staff described the processes. This included sharps safety, sepsis awareness and lone working.

Staff demonstrated an open culture in relation to people’s safety. They felt confident that risks were well managed at the practice, and this was reflected in our findings.

Staff could access emergency equipment and medicines that were checked in line with national guidance. They knew how to respond to a medical emergency and had completed training in emergency resuscitation and basic life support every year. Staff also participated in medical emergency scenario training.

The premises were visibly clean, well maintained and free from clutter. Hazardous substances were clearly labelled and stored safely.

We saw satisfactory records of servicing and validation of equipment in line with manufacturer’s instructions.

The practice had arrangements to ensure the safety of the X-ray equipment and the required radiation protection information was available.

The practice had some systems in place to manage fire safety, and fire exits were clear and well signposted. Fire safety equipment was serviced regularly and the practice carried out periodic in-house fire safety checks. The Fire Risk Assessment dated 5 April 2022 identified several recommendations, not all of which had been actioned. In addition, there were no records to demonstrate that the fire risk assessment was reviewed regularly to monitor progress against recommendations and to identify new and emerging risk.

In response to our inspection feedback, the provider submitted evidence that remedial work to address the outstanding recommendation had been scheduled for the week commencing 24 November 2025.

While fire evacuation procedures had been discussed in practice meetings, there was no evidence that fire evacuation drills had been carried out. Following the inspection, the provider submitted evidence that a fire drill was conducted during a practice meeting on 11 November 2025. The provider also confirmed that moving forward, fire evacuation drills will be undertaken at appropriate intervals.

The practice had systems for appropriate and safe management of medicines. NHS prescription pads were kept securely, and a log was in place to monitor and track their use.

The practice had a recruitment policy and procedures that reflected relevant legislation, to help them employ suitable staff, including agency or locum staff.

On the day of the inspection, some clinical staff did not have documented evidence of their hepatitis B vaccination response. Following the inspection, the practice provided confirmation that the outstanding blood tests had been scheduled, and that risk assessments had been completed, outlining control measures to be followed while awaiting test results.

The practice ensured clinical staff were qualified, registered with the General Dental Council and had appropriate professional indemnity cover.

Newly appointed staff had an appropriate role specific structured induction.

Staff had the skills, knowledge and experience to carry out their roles. They told us that there were enough staff on duty at all times. They demonstrated knowledge of safeguarding and were aware of how safeguarding information could be accessed. Staff knew how to escalate safeguarding concerns within the practice and externally.

The practice ensured staff training, including continuing professional development, was up-to-date and reviewed at the required intervals.

There were effective processes to support and develop staff with additional roles and responsibilities. Staff discussed their learning needs, general wellbeing and aims for future professional development during annual appraisals, one-to-one meetings. practice team meetings and ongoing informal discussions.

Staff felt respected, supported and valued, and they were proud to work in the practice. One staff member said, “I absolutely love working here! The team is amazing, and we all gel really well together. Management is supportive and approachable, and they are always looking for ways to improve the practice and make it a better place to work. The team is supportive and friendly, and everyone works together to provide excellent patient care and create a positive work environment.”

The practice had infection control procedures that reflected published guidance.

Staff received appropriate training and demonstrated knowledge and awareness of infection prevention and control processes.

Staff used personal protective equipment and decontaminated dental instruments after use, in line with national guidance. We saw, and staff confirmed that single-use items were not reprocessed.

The practice had procedures in place to reduce the risk of Legionella, or other bacteria, developing in water systems. A Legionella Risk Assessment was completed in October 2025, which identified several high- and medium-risk recommendations. Whilst at the time of the inspection not all of these had been actioned, the practice had an action plan to address the recommendations within the specified timeframes.

The practice had protocols to ensure effective cleaning and safe segregation and disposal of hazardous waste.

Equipment was maintained and serviced in line with manufacturers’ instructions.

The practice completed infection prevention and control audits in line with current guidance.

The judgement for Medicines optimisation is based on the latest evidence we assessed for the Safe key question.