Friars Street Dental Practice

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 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 11 October 2024.

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.

At the assessment on 24 January 2025, we found the practice had made the following improvements to comply with the regulations:

Staff knew how to respond to a medical emergency and had completed training in emergency resuscitation and basic life support.

Emergency equipment and medicines were available in accordance with national guidance and staff could access these in a timely way. We found that the provider was still carrying out checks of the availability and effectiveness of medical emergency equipment monthly rather than at weekly intervals.

A Fire Safety risk assessment had been undertaken by a trained and competent individual in March 2013 and reviewed in 2023 by the provider.

Evidence was seen to demonstrate fire safety training had been completed by all staff and fire drills were carried out.

In-house fire equipment checks were carried out.

An Electrical Installation Condition Report was carried out in November 2024 and recorded as satisfactory.

Records confirmed the servicing and maintenance of the X-ray equipment was carried out accordance with manufacturers and national guidance. Actions points from the radiation performance report were carried out.

Risk assessments and data sheets to minimise the risk that could be caused from substances that are hazardous to health (COSHH), in the event of an accident, were accessible to staff including the practice cleaner.

The practice had systems for appropriate and safe handling of medicines. Antimicrobial prescribing audits were carried out.

At the assessment on 24 January 2025, we found the practice had made the following improvements to comply with the regulations:

Staff knew their responsibilities for safeguarding vulnerable adults and children and training had been completed to an appropriate level for their role.

At the assessment on 24 January 2025, we found the practice had made the following improvements to comply with the regulations:

The practice had a recruitment policy and procedure to help them employ staff.

Staff appraisals were not undertaken however, a plan had been put in place to carry these out for all staff in February 2025.

Some staff recruitment information was available.

We found there was a lack of oversight to ensure staff training, including continuing professional development, was up-to-date and reviewed at the required intervals. Arrangements were put in place following our assessment to monitor staff training.

At the assessment on 24 January 2025, we found the practice had made the following improvements to comply with the regulations:

The practice appeared clean and there were schedules in place to ensure it was kept clean.

Staff followed infection control principles, including the use of personal protective equipment (PPE).

The practice had policies and procedures in place to ensure clinical waste was segregated and stored appropriately in line with guidance.

At the assessment on 24 January 2025, we found the practice had made the following improvements to comply with the regulations:

The practice provided evidence of a Legionella risk assessment which had been undertaken by a trained and competent individual.

The monthly checklist had been updated to include removal of limescale from taps.

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