Updated 24 February 2025
We found the practice had not met all regulations.
Leadership was not consistently effective to promote a culture of continuous improvement.
Systems and processes to maintain oversight of the premises and equipment, including medical emergency and radiation equipment were not always working effectively.
The practice had systems to identify and manage risks, however these were not always effective, and findings were not always acted on.
Infection control procedures in place were mostly in line with best practice guidance.
Recruitment procedures reflected current legislation.
Patients’ care and treatment was provided in line with current guidance.
Patients were treated with dignity and respect and at the time of our assessment, could access care, support and treatment when required.
The practice is in Dudley and provides NHS and private dental care and treatment for adults and children.
There was step-free access to the practice and car parking spaces available, including dedicated parking for disabled people, near the practice.
The practice had 2 treatment rooms. At the time of our assessment, there was a total of 6 staff, of which there were 2 dentists, 3 dental nurses, 1 receptionist and the practice manager. We gathered feedback from staff and spoke to a range of staff during our assessment, including 1 dentist, 2 dental nurses and the practice manager.
The provider was not complying with Regulation17, Good Governance. Full details of the regulation the provider was not meeting are within the assessment findings below.
We have asked the provider for an action plan in response to the concerns found at this assessment.