CastleView Dental

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 inspection on 6 November 2023

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 20 June 2024, we found the practice had made the following improvements to comply with the regulation: Emergency lighting servicing was carried out. Fire alarm inspection and servicing was carried out. Monthly emergency light testing was carried out. The fire extinguishers had been serviced in the previous 12 months. Emergency medicines and equipment was continuously monitored by staff. Glass partitioning on treatment room doors was frosted to protect patients’ privacy and dignity. Closed circuit television (CCTV) was no longer present in treatment rooms. Information for patients was available to explain the purpose of recording CCTV images in public areas of the practice. The name and contact details of those operating the CCTV surveillance scheme were displayed. Recruitment procedures reflected current legislation. Staff training was up-to-date and reviewed at the required intervals. The practice had also made further improvements: All staff had been tested for immunity to Hepatitis B infection.

At the assessment on 20 June 2024, we found the practice had made the following improvements to comply with the regulation: Annual mechanical servicing of the Cone-beam computed tomography (CBCT) machine was carried out. CBCT Monthly quality assurance tests, known as phantom tests, were carried out. Shortfalls highlighted in the most recent 3 yearly CBCT physics test had been addressed. Control of Substances Hazardous to Health (COSHH) applicable cleaning products were stored in a secure way. COSHH warning signs were present on storage areas. The clinical waste bin was stored at the rear of the practice was tethered to a fixed point to prevent unauthorised interference. Local anaesthetic cartridges were stored in blister packs. Cotton wool in treatment rooms were stored in an appropriate dispenser. Cleaning equipment storage had improved since our last visit. However, further improvements could be made to ensure cleaning equipment is separated to reduce the risk of cross contamination. Evidence of the oversight of the standard of cleaning was available.

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.