Friars Street 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.

The provider had made improvements to put right the shortfalls we found at our assessment on 11 October 2024, However, there were still some areas which required improvement. We have told the provider to take action. We will be following up on our concerns to ensure they have been put right by the provider. The impact of our concerns, in terms of the safety of clinical care, is minor for patients using the service. Once the shortcomings have been put right the likelihood of them occurring in the future is low.

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

Feedback from staff was obtained through meetings and informal discussions.

We saw evidence of recent documented team meetings.

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

An external Legionella risk assessment was carried out in March 2013 and reviewed in 2023 by the provider. Water temperature checks were carried out by the provider however, actual temperatures were not recorded.

Scale deposits were found on the taps in one of the upstairs treatment rooms.

Some evidence of completed Continuous Professional Development (CPD) for clinical team members was available which was not available to view at the initial assessment on 11 October 2024. 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.

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.