Western Avenue 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 assessment on 1 August 2025.

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 21 February 2025, we found the practice had made the following improvements to comply with the regulation. The registered person had developed effective systems and processes which enabled them to assess, monitor and improve the quality and safety of the services being provided. Audits of disability access, radiography, and infection and prevention control (IPC) were reviewed during the assessment and the inspection team saw that these included documented learning points and actions taken to drive improvement. The practice had taken action to address the actions identified in the IPC audits from May 2024 and subsequent audits. Improvements had been made to the organisation of information and evidence which was presented during the assessment, and it was now 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 readily available on the day of our assessment. Following our last assessment, the service had removed the motion sensors and live video feeds (referred to as CCTV in our previous report) from the waiting room and decontamination room . The practice should consider installing clear signage to inform patients they are being recorded by the motion sensors and live video feed at the front door.

The principal dentist had invested in refurbishing the practice, including a new autoclave and a washer disinfector, which was due to be installed in the week following our assessment. A washer disinfector cleans and disinfects dental instruments before sterilisation. Since our last assessment, the practice had recruited a qualified dental nurse, and an associate dentist had joined the practice. Disclosing and Barring Service (DBS) checks, satisfactory evidence of conduct in previous employment and full employment histories had been obtained for these staff members, according to relevant legislation. Newly appointed staff had a structured induction, and clinical staff completed continuing professional development required for their registration with the General Dental Council. The practice had arrangements to ensure staff training was up-to-date and reviewed at the required intervals.

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.