Howard Stean - Mortlake Road Kew

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.

The practice had a governance system that included policies and procedures. Improvements were required to ensure these were reviewed on a regular basis. There were processes for undertaking audits, identifying and managing risks, and investigating incidents and accidents. Improvements were required to ensure that the service undertook audits within recommended timeframes. Further improvements were required as the practice did not receive safety alerts from the Medicines and Healthcare product Regulatory Agency, who send out alerts, recalls and safety information regarding medical devices and medicines, which can be relevant to the practice of dentistry. Where the assessment highlighted issues and omissions, areas requiring improvement were acted on.

The practice administrator was aware of the importance of protecting patients’ personal information. Paper records were stored securely and complied with General Data Protection Regulations. The inspection team were informed that the practice had never received a complaint. There were processes in place to enable the practice to respond to concerns and complaints appropriately. Feedback from patients was collected and responded to. We saw positive patient feedback stored within a patient compliments folder. The principal dentist participated in peer review and study meetings with a team of dental practitioners, focusing on learning and sharing knowledge with colleagues. They demonstrated an open culture in relation to people’s safety. It was clear to the inspection team that delivering good quality patient care was a priority to the service. At the time of our inspection, the practice did not have a dental nurse and were using agency nurses. The practice administrator told us that they held daily informal meetings to discuss matters relating to the everyday running of the practice.

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.