Highview 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 not providing well-led care in accordance with the relevant regulations. We will be following up on our concerns to ensure the provider had made the required improvements.

During our assessment of this key question, we found a lack of systems or processes that enabled the registered person to assess, monitor and improve the quality and safety of the services being provided. We also found a lack of systems or processes that enabled the registered person to assess, monitor and mitigate the risks relating to the health, safety and welfare of service users and others who may be at risk.

This resulted in a breach of Regulation 17, Good Governance of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014.

You can find more details of our concerns in the detailed findings below.

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.

Processes for identifying and managing risks were not always effective. In particular, oversight of medical emergency equipment, radiography, clinical records, servicing and validation of equipment, medicine management and processes to support and develop staff.

Processes for continuous improvement needed reviewing. We found audits did not identify risks we found during our assessment such as the quality of clinic records. Infection control audits needed to be carried out every 6 months rather than yearly according to recognised guidance.

We discussed the importance of appraisals and meetings so that staff could be encouraged to offer suggestions for improvements to the service.



Staff password protected patients’ electronic care records and paper records were mostly stored securely and complied with General Data Protection Regulations. However, we saw some patient information on display and unattended.

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.

Feedback from patients, the public and external partners was collected to which the practice responded.

The practice had taken steps to improve environmental sustainability.

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.