Old Tile House 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 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 breach we found at our inspection on 12 March 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 30 September 2024 we found the practice had made the following improvements to comply with the regulation: Missing items of medical emergency kit had been purchased and were available for use. A new systems had been implemented to ensure availability and effectiveness of medical emergency equipment. Logs were kept demonstrating checks completed. The provider had taken action to implement recommendations in the Legionella risk assessment. Evidence was available to demonstrate action taken to address the majority of issues for action identified in the March 2024 fire risk assessment . The risk assessment identified the need to install emergency lighting and an integrated fire alarm system. The provider had taken advice from an external professional and had been informed that this was not required due to the size and layout of the building, although there was no documentary evidence to demonstrate this. The management of fire safety was now effective. Improvements had been made to the practice's systems for checking and monitoring decontamination equipment. The provider had completed a dental care records audit and an antimicrobial prescribing audit. The May 2024 infection prevention and control audit identified a rip in the material of the chair in surgery 2, this issue for action had not been addressed. The radiography audit did not include the required sample size. The practice manager confirmed that going forward the radiography audit would include a larger sample size, and the rip in the material of the chair would be fixed. The provider had introduced a system for the on-going assessment, supervision and appraisal of staff.

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.