Eccleshill Dental

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.

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.

We found staff to be open to discussion and feedback. The provider demonstrated a transparent and open culture in relation to people’s safety. Staff told us there was strong leadership with emphasis on people’s safety and continually striving to improve. They engaged a business coach to understand the team’s personality dynamics, develop new skills and provide feedback and suggestions on improvements. Staff told us they had clear responsibilities, roles and systems of accountability to support good governance and management. A monthly reward system had been introduced to recognise staff achievements and boost staff motivation and morale. Feedback from staff was obtained through meetings and informal discussions. Leaders ensured all staff were able to contribute to these discussions by holding daily huddles and meetings on different days and times to accommodate working patterns. Staff were encouraged to offer suggestions for improvements to the service, and they said these were listened to and acted upon, where appropriate. Staff stated they felt respected, supported and valued. They were proud to work in the practice. We saw the practice had effective processes to support and develop staff with additional roles and responsibilities. For example, the manager had completed a diploma in leadership and management. Staff showed us how they collected and responded to feedback from patients, the public and external partners. The practice had taken steps to improve environmental sustainability. For example, by installing energy saving lighting, smart temperature control, recycling waste and using electronic devices to review patient forms which reduces the use of paper.

Systems and processes were embedded, and staff worked together in such a way that the assessment did not highlight any significant issues or omissions. Where the assessment identified areas which required improvement these were acted on immediately. The information and evidence presented during the assessment was clear and well documented. The practice had a governance system which included policies, protocols and procedures that were accessible to all members of staff and were reviewed on a regular basis. Relevant policies and protocols were in place for the use of closed-circuit television (CCTV). We saw there were clear and effective processes for identifying and managing risks, issues and performance. Where these were identified, tasks were assigned to staff to ensure they were acted on. The practice had systems to review and investigate incidents and accidents, and for receiving and acting on safety alerts. A system should be introduced to document action taken in response to alerts. The practice responded to concerns and complaints appropriately. Staff discussed outcomes to share learning and improve the service. The practice had systems and processes for learning, quality assurance and continuous improvement. This included undertaking audits according to recognised guidance. The practice should take action to ensure audits are undertaken at appropriate intervals to improve the quality of the service. In particular, we highlighted that radiography and infection prevention and control audits should be undertaken on a six-monthly basis in line with national guidance. We discussed the benefits of carrying out audits of antimicrobials and signposted the manager to tools to support this process.

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.