CQC Status:Inspection Ready (96% Compliant)
Dashboard/CQC Inspection Hub/Pre-Opening Statutory Certification

CQC Pre-Opening & Statutory Registration Vault

Complete regulatory verification suite of all statutory certificates, engineering inspection reports, clinical audits (including the RP4 Radiograph Quality Audit), and legal documentation required by the CQC and UK Law before a dental practice is permitted to open.

CQC Opening Readiness100%29 of 29 Statutory Certs Valid
RP4 Radiograph Audit95%Target: >=90% (FGDP Quality A)
PSSR & Decontamination100%PSSR WSE & IPS 94% Best Practice
Fire, Water & ResusCompliantFRA, ACOP L8 & RCUK Kits In-Date
✓ VERIFIED ON FILEMANDATORY TO OPEN•Registered Dental Provider

CQC Statement of Purpose (Parts 1 to 4)

Statutory Basis: Health and Social Care Act 2008 (Regulated Activities) Reg 12 & Schedule 3
Ref: SOP-WCD-2026Valid until: 01/01/2027
View Statement of Purpose

Legal blueprint detailing practice aims, objectives, registered activities (RA1 Treatment, RA2 Surgical, RA3 Diagnostic/Screening), registered manager details, and nominated individual.

Renewal Standard: Review Annually or within 28 days of any material change
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✓ VERIFIED ON FILEMANDATORY TO OPEN•Disclosure and Barring Service (DBS) / CQC

CQC-Countersigned Enhanced DBS & Barred List Checks

Statutory Basis: Health and Social Care Act 2008 Reg 19 (Fit and proper persons employed)
Ref: DBS-00192847192Valid until: 15/04/2027
View Staff DBS Matrix

Enhanced disclosure including child and adult barred list checks for Registered Manager, Partners, and Nominated Individuals.

Renewal Standard: Must be < 12 months old at time of CQC application / Registered with DBS Update Service
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✓ VERIFIED ON FILEMANDATORY TO OPEN•Information Commissioner's Office (ICO)

Information Commissioner's Office (ICO) Data Protection Registration

Statutory Basis: Data Protection Act 2018 & UK GDPR (Data Protection Fee Regulations)
Ref: ZB849201Valid until: 31/03/2027

Statutory Tier 1/2 data controller registration in the legal entity/practice name to process sensitive health (special category) patient records.

Renewal Standard: Annual renewal
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✓ VERIFIED ON FILEMANDATORY TO OPEN•Approved UK Commercial Insurer

Employer's & Public Liability Insurance Certificates

Statutory Basis: Employers' Liability (Compulsory Insurance) Act 1969
Ref: POL-UK-8492019Valid until: 28/02/2027

Mandatory statutory certificates displayed in staff area and uploaded to CQC registration portal.

Renewal Standard: Annual renewal (Minimum £10m Employer Liability / £5m Public Liability)
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✓ VERIFIED ON FILEMANDATORY TO OPEN•Chartered Accountant / UK Commercial Bank

Financial Viability Statement & Bank / Accountant Reference

Statutory Basis: Care Quality Commission (Registration) Regulations 2009 Reg 13
Ref: FVS-2026-SIGNEDSubmitted upon initial registration and provider entity change

Independent professional verification that the provider has the financial resources to deliver safe and compliant regulated dental activities.

Renewal Standard: Submitted upon initial registration and provider entity change
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✓ VERIFIED ON FILEMANDATORY TO OPEN•Local Authority Building Control / Approved Inspector

Building Regulations Final Completion Certificate & Planning Consent

Statutory Basis: Building Act 1984 & Town and Country Planning (Use Classes) Order (Class E)
Ref: BC-LON-2025-9921Permanent (following premises fit-out/conversion)

Proof of lawful planning use (Class E Medical/Dental) and final Building Control sign-off for structural, disabled access, and ventilation standards.

Renewal Standard: Permanent (following premises fit-out/conversion)
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✓ VERIFIED ON FILEMANDATORY TO OPEN•Health and Safety Executive (HSE)

HSE Radiation Registration / Notification (IRR17)

Statutory Basis: Ionising Radiations Regulations 2017 (IRR17) Regulation 5
Ref: HSE-RAD-0948201Permanent registration prior to initial X-ray machine use

Formal online registration with the HSE confirming the practice works with dental ionising radiation apparatus.

Renewal Standard: Permanent registration prior to initial X-ray machine use
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✓ VERIFIED ON FILEMANDATORY TO OPEN•Appointed Radiation Protection Services UK Ltd

RPA & MPE Formal Written Appointment Letters

Statutory Basis: IRR17 Regulation 14 & IR(ME)R 2017 Regulation 14
Ref: RPA-MPE-2026-VALValid until: 15/01/2027
View Radiation File

Statutory letters of appointment for Radiation Protection Adviser (RPA) for equipment safety and Medical Physics Expert (MPE) for patient dosage.

Renewal Standard: Annual service agreement
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✓ VERIFIED ON FILEMANDATORY TO OPEN•RPA / Certified Radiation Physics Engineer

X-Ray Critical Examination & Acceptance Testing Reports

Statutory Basis: IRR17 Regulation 32 & IR(ME)R 2017 Regulation 15
Ref: CRIT-EXAM-2026-01Valid until: 15/01/2029
View Equipment QA

Engineering safety report verifying radiation leakage, kV/mA accuracy, timer reliability, and collimation alignment for every intraoral and OPG/CBCT tube.

Renewal Standard: Prior to initial clinical use & minimum every 3 years (annual routine QA)
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✓ VERIFIED ON FILEMANDATORY TO OPEN•Radiation Protection Supervisor (RPS) & RPA

Local Rules & Radiation Risk Assessment (RRA)

Statutory Basis: IRR17 Regulation 8 & Regulation 18
Ref: LR-RRA-REV3Annual review or upon new equipment installation

Site-specific local rules defining the controlled area boundary (1.5m/2.0m), contingency plans, dose constraints, and designated RPS names.

Renewal Standard: Annual review or upon new equipment installation
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✓ VERIFIED ON FILEMANDATORY TO OPEN•Dental Practice Governance / Lead Dentist (IRMER Registrant)

Retrospective Radiograph Quality Audit (RP4 Standard)

Statutory Basis: IR(ME)R 2017 Regulation 7 & FGDP/CGDent Selection Criteria in Dental Radiography
Ref: RP4-AUDIT-2026Annual audit / 20-radiograph sample per clinician

Mandatory retrospective clinical audit evaluating 20 consecutive radiographs for clinical justification, diagnostic quality ('A' vs 'NA'), collimator alignment, pathology charting, and GDC IRMER QA verification.

Renewal Standard: Annual audit / 20-radiograph sample per clinician
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✓ VERIFIED ON FILEMANDATORY TO OPEN•Competent Pressure Vessel Inspector / UK Engineering Insurer

PSSR 2000 Written Scheme of Examination (WSE) & Autoclave Vessel Inspection

Statutory Basis: Pressure Systems Safety Regulations 2000 (PSSR 2000) Reg 8
Ref: PSSR-WSE-84920Valid until: 14/02/2027
View Decontamination Equipment

Mandatory safety certificate examining pressure vessels and safety valves of autoclaves and dental air compressors. A legal criminal offence to operate without valid WSE.

Renewal Standard: Strict Annual Inspection (12 Months)
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✓ VERIFIED ON FILEMANDATORY TO OPEN•Practice Decontamination Lead (Dr Ahmed Rammahi)

Infection Prevention Society (IPS) HTM 01-05 Decontamination Audit

Statutory Basis: Health Technical Memorandum 01-05 & Health and Social Care Act 2008 Reg 12/15
Ref: IPS-AUDIT-94%-PASSValid until: 30/11/2026
View IPS Audit

Complete IPS audit covering dirty-to-clean workflow zoning, instrument transport, automated washer-disinfectors, ultrasonic baths, packaging, storage expiry, and environmental cleaning.

Renewal Standard: 6-Monthly statutory requirement
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✓ VERIFIED ON FILEMANDATORY TO OPEN•Licensed Waste Carrier (Environment Agency Registered)

Clinical Hazardous Waste Contract & Pre-Acceptance Audit

Statutory Basis: Environmental Protection Act 1990 & Hazardous Waste Regulations 2005
Ref: EA-WM-0928419Valid until: 30/06/2027

Documented duty of care for segregated healthcare waste (EWC 18 01 01 sharps, 18 01 04 offensive, 18 01 06 chemicals, 18 01 10 amalgam waste) with signed consignment notes kept for 3 years.

Renewal Standard: Pre-acceptance audit every 2 years / Annual carrier licence review
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✓ VERIFIED ON FILEMANDATORY TO OPEN•Dental Equipment Manufacturer (BS ISO 11143)

Amalgam Separator 95% Efficiency Certificate

Statutory Basis: EU Mercury Regulation 2017/852 & Water Industry Act 1991
Ref: ISO-11143-PASSValid until: 10/01/2027

Certification that amalgam retention systems retain at least 95% of amalgam particles from suction lines before effluent discharge.

Renewal Standard: Annual maintenance & filter replacement certification
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✓ VERIFIED ON FILEMANDATORY TO OPEN•Certified Fire Safety Assessor / Institute of Fire Safety Managers

Commercial Fire Risk Assessment (FRA)

Statutory Basis: Regulatory Reform (Fire Safety) Order 2005 & Fire Safety (England) Regs 2022
Ref: FRA-WCD-2026Valid until: 15/01/2027
View Fire Safety Center

Comprehensive assessment of fire hazards, evacuation routes, fire doors (FD30S/FD60S), compartmentation, escape signage, and staff fire marshalling protocols.

Renewal Standard: Annual review or upon any physical alterations
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✓ VERIFIED ON FILEMANDATORY TO OPEN•NICEIC / BAFE Certified Fire Engineering Contractor

Fire Alarm & Emergency Lighting Commissioning Certificates

Statutory Basis: BS 5839 (Fire Alarms) & BS 5266 (Emergency Lighting)
Ref: BS5839-CERT-2026Valid until: 15/12/2026
View Alarm Logs

Certificate of commissioning, sound pressure levels across surgeries, automatic door closers, and illumination of exit routes during mains failure.

Renewal Standard: Annual 3-hour emergency lighting test & 6-monthly alarm servicing
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✓ VERIFIED ON FILEMANDATORY TO OPEN•BAFE Approved Fire Service Contractor

Fire Extinguisher Commissioning & Annual Maintenance Certificate

Statutory Basis: BS 5306-3 (Commissioning and maintenance of fire extinguishers)
Ref: EXTING-2026-TAGGEDValid until: 10/01/2027

Inspection certificate for Water/Foam, CO2 (for electrical/radiography areas), and Wet Chemical extinguishers with current service tags.

Renewal Standard: Annual inspection & test date tag
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✓ VERIFIED ON FILEMANDATORY TO OPEN•Legionella Control Association (LCA) Accredited Assessor

Legionella Risk Assessment (LRA) & Water Hygiene Scheme

Statutory Basis: Health and Safety at Work Act 1974 & HSE ACOP L8 / HTM 04-01
Ref: LRA-ACOP-L8-2025Valid until: 15/05/2027
View Water Safety Tool

Full schematic and risk assessment of hot/cold water storage, water heater temperature regimes, sentinel outlets, and dental unit waterline biofilm mitigation protocols.

Renewal Standard: Every 2 years or upon changes to water system
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✓ VERIFIED ON FILEMANDATORY TO OPEN•UKAS Accredited Water Microbiology Laboratory / Dipslide Log

Dental Unit Waterlines (DUWL) TVC Microbiological Test Certificate

Statutory Basis: HTM 01-05 Section 6.84 & Drinking Water Quality Standards
Ref: LAB-TVC-08492-PASSValid until: 20/11/2026
View DUWL Logs

Laboratory certificate verifying continuous disinfection (e.g. Alpron/Citrisil) and flushing protocols effectively suppress Legionella and opportunistic biofilm in dental chair waterlines.

Renewal Standard: Quarterly TVC test (Colony counts must remain < 200 CFU/ml)
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✓ VERIFIED ON FILEMANDATORY TO OPEN•NICEIC / NAPIT Approved Electrician

Electrical Installation Condition Report (EICR) & PAT Register

Statutory Basis: Electricity at Work Regulations 1989 & BS 7671 (IET Wiring Regulations)
Ref: EICR-5YR-SATISFACTORYValid until: 15/08/2030

Satisfactory EICR certificate for fixed electrical wiring, distribution boards, RCD protection in clinical areas, and individual PAT test sticker register for all plug-in dental appliances.

Renewal Standard: EICR 5-Yearly / PAT Testing Annually for portable equipment
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✓ VERIFIED ON FILEMANDATORY TO OPEN•UKAS Accredited Asbestos Surveyor

Asbestos Management Survey & Register (Pre-2000 Buildings)

Statutory Basis: Control of Asbestos Regulations 2012 (CAR 2012) Regulation 4
Ref: ASB-SURV-2024-NILAnnual re-inspection of identified ACMs / Permanent survey

Duty to manage asbestos: Management survey report confirming absence of exposed asbestos fibres or management plan with signed contractor disclosure register.

Renewal Standard: Annual re-inspection of identified ACMs / Permanent survey
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✓ VERIFIED ON FILEMANDATORY TO OPEN•Practice Access Lead / Certified Access Auditor

Disability Access & Equality Act 2010 Audit

Statutory Basis: Equality Act 2010 & CQC Regulation 15 (Premises and equipment)
Ref: DDA-ACCESS-COMPLIANTReview every 2 years

Audit verifying reasonable adjustments: step-free wheelchair access/ramp, ground floor surgery, hearing loop system in reception, accessible patient toilet, and translation service pathways.

Renewal Standard: Review every 2 years
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✓ VERIFIED ON FILEMANDATORY TO OPEN•Licensed Pharmaceutical Supplier / Practice Pharmacist

Resuscitation Council UK (RCUK) Medical Emergency Drug Kit

Statutory Basis: Resuscitation Council UK Quality Standards & BNF Dental Formulations
Ref: RCUK-KIT-VERIFIEDValid until: 01/03/2027
View Emergency Drug Log

Complete in-date emergency drug portfolio: Oxygen cylinder (size D/E > 15 L/min), Adrenaline 1:1000, Aspirin 300mg, Glucagon 1mg, Glyceryl Trinitrate GTN spray, Buccal Midazolam 10mg, Salbutamol inhaler with large-volume spacer.

Renewal Standard: Weekly expiry checking / Immediate replacement upon expiry
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✓ VERIFIED ON FILEMANDATORY TO OPEN•Medical Equipment Supplier

Automated External Defibrillator (AED) & Resuscitation Equipment Pack

Statutory Basis: Resuscitation Council UK (Primary Dental Care) & CQC Reg 12
Ref: AED-SER-892019Valid until: 30/08/2027
View AED Check Log

Automated external defibrillator (AED) with adult and paediatric electrode pads, manual bag-valve-mask resuscitator with reservoir, portable electric suction with Yankauer sucker, clear face masks (sizes 0-4), and Guedel oral airways (sizes 1-4).

Renewal Standard: Weekly readiness indicator test / Pad expiry monitoring
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✓ VERIFIED ON FILEMANDATORY TO OPEN•RCUK Certified Resuscitation Officer / Approved Training Provider

Annual Medical Emergencies & CPR / ILS Training Certificates (All Staff)

Statutory Basis: GDC Enhanced CPD Core Topic & Resuscitation Council UK Guidelines
Ref: CPR-ILS-2026-ROSTERValid until: 20/01/2027
View Staff CPD Vault

Certificates for 100% of clinical and non-clinical team members verifying practical CPR, AED deployment, airway management, and simulated emergency scenarios (anaphylaxis, asthma, hypoglycaemia, seizure, cardiac arrest).

Renewal Standard: Mandatory Annual Hands-On Practical Training (Every 12 Months)
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✓ VERIFIED ON FILEMANDATORY TO OPEN•General Dental Council (GDC) / MDU / DDU / BDA / Dental Protection

GDC Annual Retention & Professional Indemnity Portfolio

Statutory Basis: Dentists Act 1984 & Health and Social Care Act 2008 Reg 19
Ref: GDC-INDEM-2026-ALLAnnual GDC retention check & Indemnity renewal
View GDC Register

Verified active GDC registration status and adequate malpractice indemnity coverage for all Dentists, Hygienists, Therapists, and Dental Nurses.

Renewal Standard: Annual GDC retention check & Indemnity renewal
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✓ VERIFIED ON FILEMANDATORY TO OPEN•Occupational Health Physician / UKAS Immunology Laboratory

Occupational Health & Hepatitis B Seroconversion / Titre Level Reports

Statutory Basis: Health and Social Care Act 2008 Code of Practice on IPC & COSHH 2002
Ref: OCC-HEPB-SERO-OKPrior to patient contact / 5-yearly booster checks
View Staff Immunisations

Documented proof of Hepatitis B vaccination with anti-HBs antibody titre level > 100 mIU/mL confirming immunity, plus Exposure Prone Procedure (EPP) clearance for clinicians performing surgical procedures.

Renewal Standard: Prior to patient contact / 5-yearly booster checks
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✓ VERIFIED ON FILEMANDATORY TO OPEN•Accredited Safeguarding Provider / NHS Safeguarding

Safeguarding Children & Adults Level 2/3 Certificates

Statutory Basis: CQC Regulation 13 & Intercollegiate Guidance on Safeguarding
Ref: SG-L3-L2-2026Level 3 Lead every 3 years / Level 2 all staff every 3 years
View Safeguarding Certs

Level 3 Safeguarding Lead qualification for Registered Manager/Principal Dentist and Level 2 certification for all team members including FGM mandatory reporting protocols.

Renewal Standard: Level 3 Lead every 3 years / Level 2 all staff every 3 years
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