Claremont Dental Surgery - Wigan

On this page

• Overview
• Learning culture
• Safe systems, pathways and transitions
• Safeguarding
• Involving people to manage risks
• Safe environments
• Safe and effective staffing
• Infection prevention and control
• Medicines optimisation

We found this practice was providing safe care in accordance with the relevant regulations and had taken into consideration appropriate guidance. The provider had made improvements in relation to the regulatory breaches we found at our assessment on 23 May 2024.

Find out what we look at when we assess this area in our information about our new Single assessment framework.

The judgement for Learning culture is based on the latest evidence we assessed for the Safe key question.

The judgement for Safe systems, pathways and transitions is based on the latest evidence we assessed for the Safe key question.

The judgement for Safeguarding is based on the latest evidence we assessed for the Safe key question.

The judgement for Involving people to manage risks is based on the latest evidence we assessed for the Safe key question.

At the assessment on 12 November 2024, we found the practice had made the following improvements to comply with the regulations: The practice had satisfactory records of servicing and validation of equipment in line with manufacturer’s instructions. Since our last visit, the practice had installed a new fire detection and emergency lighting system. We saw evidence that this was tested following the manufacturer’s instructions.

At the assessment on 12 November 2024, we found the practice had made the following improvements to comply with the regulations: The practice had arrangements to ensure the safety of the X-ray equipment, and the required radiation protection information was available. Since our last visit, the practice had completed all outstanding actions from the 3-yearly routine testing. The practice had implemented systems to assess, monitor and manage risks to patient and staff safety. This included sharps safety and lone working. Since our last visit, the practice had conducted a lone working risk assessment to assess, monitor and manage risks associated with staff lone working. The practice had undergone a new fire safety risk assessment in line with the legal requirements. The management of fire safety had improved and was effective. The practice has worked through the majority of outstanding actions and implemented many improvements including the installation of a new fire detection and emergency lighting system. However, there were some recommendations still outstanding on the fire safety risk assessment. We discussed this with staff and were assured this would be addressed and rectified. The practice should take action to implement any recommendations in the practice's fire safety risk assessment.

At the assessment on 12 November 2024, we found the practice had made the following improvements to comply with the regulations: The practice had implemented a new recruitment policy and procedure to help them employ suitable staff. These reflected the relevant legislation. The practice had not employed any new staff since the last assessment so we could not check if this was embedded. However, staff assured us they would ensure the policy and procedure is always followed in future. The practice had implemented a central log to keep track of all staff training. However, we noted on the day of the follow up assessment, 4 staff members had not completed their annual fire awareness training. The practice acted immediately, and these were completed on 12 November 2024.

At the assessment on 12 November 2024, we found the practice had made the following improvements to comply with the regulations: We observed the outdoor clinical waste bin was locked and the practice had installed a padlock to ensure the bin was secured.

At the assessment on 12 November 2024, we found the practice had made the following improvements to comply with the regulations: The practice had implemented improvements to the procedures to reduce the risk of Legionella, or other bacteria, developing in water systems, in line with a risk assessment. Monthly hot and cold-water temperature checks were completed, logged and within the required temperature ranges and sentinel outlets were being tested.

The judgement for Medicines optimisation is based on the latest evidence we assessed for the Safe key question.