No. 1 Nursery Road Dental Practice

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 assessment on 26 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 assessment on 2 September 2024, we found the practice had made the following improvements to comply with the regulation: Audits of infection prevention control and disability access were undertaken at required intervals to improve the quality of the service. There were systems in place to ensure emergency equipment was available and checked in accordance with national guidance, an electrical fixed wiring test had been carried out and fire safety processes were effective and in line with Fire Safety Legislation. For example, the fire alarm and emergency lighting had been serviced and the required internal fire checks were in place. The provider had completed risk assessments for Control of Substances Hazardous to Health (COSHH) products in use throughout the practice in line with COSHH Regulations, 2002, antibiotics were dispensed of safely and securely; labels included the name and address of practice and an effective system was in place to monitor and record the fridge temperature to ensure that medicines were being stored in line with the manufacturer’s guidance. The practice's protocols and procedures for the use of X-ray equipment was in compliance with The Ionising Radiations Regulations 2017 and Ionising Radiation (Medical Exposure) Regulations 2017 and took into account the guidance for Dental Practitioners on the Safe Use of X-ray. Dentists used rectangular collimators when taking x-rays and electro mechanical servicing of equipment had been carried out. The provider had documented evidence in place to demonstrate that new staff would receive an induction to the practice and that all staff had received an appraisal.

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.