Claremont Dental Surgery - Wigan

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 breaches we found at our assessment on 23 May 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 12 November 2024, we found the practice had made the following improvements to comply with the regulations: The provider told us they had implemented regular practice meetings and annual appraisals were now being conducted.

At the assessment on 12 November 2024, we found the practice had made the following improvements to comply with the regulations: Improvements had been made to the management and oversight of the practice’s systems and processes. Improvements to support of the leadership team had been implemented to ensure that the practice’s systems and processes were followed, and risks managed appropriately. The practice had a governance system which included policies, protocols and procedures that were accessible to members of staff. Improvements had been made to the detail in the recruitment and consent policies. Improvements were made to the processes for identifying and managing risks, issues, and performance. Including the risks associated with fire, legionella and gas safety. Improvements had been made to the systems and processes for learning, quality assurance and continuous improvement. This included undertaking audits according to recognised guidance. The practice had improved auditing systems and ensured all audits undertaken had action plans to drive improvement and the practice had implemented antimicrobial prescribing audits. Some improvements had been made to the systems to review and investigate incidents and accidents. There were records for significant events or near misses. However, we noted further improvements should be made to ensure all follow up actions are recorded, the documentation of these are stored securely and the practice discuss and document learning points. The practice should implement an effective system for recording, investigating and reviewing accidents, incidents and significant events with a view to preventing further occurrences and ensuring that improvements are made as a result.

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.