Why are Dental Practices Failing the Well-led KLOE?

January 16, 2017

Why are Dental Practices Failing the Well-led KLOE?

Further to my blog dated 31st October 2016, ‘Is the CQC Genuinely Assessing Leadership Within the Well-led KLOE?’ I wish to revisit this subject and support dental teams that may have issues with leading difficult or resistant team members.

Current Failings

Current evidence is showing that dental practices that are failing CQC inspections are predominantly in breach of the well-led KLOE. This is the part of the inspection that assesses good leadership, good management and good governance systems. Good governance systems are the foundation for robust compliance and Safe? can be the subsequent KLOE to be failed. These failings are very concerning, but why are they happening? Perhaps, if we look at the second Francis report, we might pick up a few clues. A direct quote from the report states “The extent of the failure of the system shown in this report suggests that a fundamental culture change is needed”. Is this also the case in failing dental practices?

The Reality of Practice Life

Since October, I have visited or worked remotely with numerous dental practices that have ongoing staff issues. Lack of communication, poor attention to detail and dealing with change (especially in light of the new CQC regime that was introduced in April 2015) seem to be at the top of the problem list. The practice culture is then directly influenced. Difficult team members are often managed by people who use inconsistent management behaviours. This does not mean that they are poor managers but simply that they have not been taught the skills to deal with performance issues.

The 5 Dysfunctions of a Team

I previously mentioned ‘The Five Dysfunctions of a Team’, a book written by American team management guru, Patrick Lencioni. He lists the 5 dysfunctions as:-

  1. Absence of trust
  2. Fear of conflict
  3. Lack of commitment
  4. Avoidance of accountability
  5. Inattention to detail

These issues are clear to see in many practices so I am on a mission to provide a helping hand to management teams to implement strategies to smooth them out. Dysfunctions within a team not only undermine robust compliance but also hamper business success. The solution revolves around a magic recipe of robust communication, nurturing positive attitudes, gaining staff buy-in and handling under performance in a positive way.

Practice growth.

By building a culture where trust, respect and commitment thrive, accountability and results will be realised. In my experience, a unified team with a shared focus and great leadership stand at the helm of the most successful dental practices that continue to flourish year on year.

Do you want to learn more? If so, attend our course ‘Is Your Practice Sleepwalking into CQC Failure?’ on either Saturday 11th March or Saturday 10th June. For an agenda of the course and booking details, please click on this link - http://pmp-consulting.co.uk/news/40/NEW-SEMINAR-Is-Your-Practice-Sleepwalking-into-CQC-Failure.html