Moor Park 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. The provider had made improvements in relation to the regulatory breaches we found at our inspection on 20 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.

Staff and leaders told us of the systems in place to manage risks for patients, staff, equipment and the premises. At the assessment on 21 May 2024 we found the practice had made the following improvements to comply with the regulations: During the assessment we found staff to be open to discussion and feedback. Staff told us there was strong leadership with emphasis on people’s safety and continually striving to improve. The governance system which included policies and procedures was effective, with further improvements planned to implement a new compliance system to support leaders to maintain day to day oversight of the practice. The provider engaged with external companies to undertake risk assessments and acted on the recommendations of these.

At the assessment on 21 May 2024 we found the practice had made the following improvements to comply with the regulations: The information and evidence presented during the assessment process was clear and well documented. We saw the processes for identifying and managing risks, issues and performance had been improved. Systems for medical emergencies had been improved to ensure these were available and checked in line with national guidance. Oversight and mitigation of Legionella risks were now in place. The practice had systems and processes for learning, quality assurance and continuous improvement. This included undertaking audits according to recognised guidance. Audits of infection prevention and control were in place to identify issues. These included conclusions and action plans. Radiographic audits were now accurately completed and used to highlight when X-ray plates should be replaced. The practice had also made further improvements: Logs had been introduced to track the use of NHS prescription pads. We highlighted this system should be further improved by ensuring the numbers of prescriptions are in sequence to identify any unauthorised use.

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.