The Manor Park Practice

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 looked for evidence that staff protected people from avoidable harm and made sure care was delivered from environments that were clean and well maintained. At our last assessment, we rated this key question as good. At this assessment, the rating remains the same.

This service scored 75 (out of 100) for this area. Find out what we look at when we assess this area and How we calculate these scores.

We did not look at Learning culture during this assessment. The score for this quality statement is based on the previous rating for Safe.

We did not look at Safe systems, pathways and transitions during this assessment. The score for this quality statement is based on the previous rating for Safe.

We did not look at Safeguarding during this assessment. The score for this quality statement is based on the previous rating for Safe.

We did not look at Involving people to manage risks during this assessment. The score for this quality statement is based on the previous rating for Safe.

The service detected and controlled potential risks in the care environment. They made sure equipment, facilities and technology supported the delivery of safe care.

Systems were in place to identify, monitor and respond to environmental risks. The premises were secure were secure with restricted access where appropriate and maintenance contracts were in place.

The service had undertaken all of security, health and safety, and fire risk assessments. Actions taken to address identified risks and improve safety included establishing a lone working policy and improving storage for or removing hazardous or combustible materials. We observed fire exits were clear and fire safety equipment was easily available and regularly checked by the service.

Equipment used to support the delivery of care and treatment was maintained and serviced in accordance with relevant guidance, including portable appliance testing for electrical equipment, and calibration of clinical equipment such as blood pressure monitors and weighing scales.

An accident book, incident recording form and significant event log were maintained, and staff demonstrated a clear understanding of their responsibilities for maintaining a safe environment.Emergency equipment and medicines were available, stored appropriately and checked in case of a medical emergency on site.There was a business continuity plan in place which was reviewed regularly and clearly outlined how essential services would be maintained in the event of a disruption.

The service made sure there were enough qualified, skilled and experienced staff, who received effective support, supervision and development. Staff worked together well to provide safe care that met people’s individual needs.

The service employed a range of clinical and non-clinical roles, which included GPs, nurses, pharmacists, and management, reception and administrative staff. Safe recruitment procedures which were in line with national legislation were followed when employing staff. This included identity checks, review of qualifications, obtaining of professional references and criminal record checks.

Leaders and managers had implemented effective assurance and oversight arrangements to support staff in carrying out their roles in line with their competencies.

There were processes to monitor and manage staff performance for the event of inconsistent or below-expected performance standards. Appropriate staff induction, supervision, and professional development arrangements were in place. All 6 staff recruitment files we checked showed that staff had completed all the mandatory and role-specific training and updates needed.

The service assessed and managed the risk of infection. They detected and controlled the risk of it spreading and systems were in place to ensure concerns would be promptly shared with appropriate agencies.

The practice was clean, tidy, and well maintained and a member of the Practice Nursing team was the Infection Prevention and Control (IPC) Lead. Appropriate IPC processes and procedures were in place. Staff had immunity status or vaccination checks to help protect patients and staff from the risk of infection.

The service undertook infection prevention and control (IPC) audits in line with national guidance and demonstrated that findings were reviewed, actioned, and followed up appropriately.

Suitable procedures were in place for the handling of clinical specimens and sharps, including the management of needlestick injuries. A clinical waste pre-acceptance audit had been completed, and comprehensive cleaning schedules for the premises and equipment were implemented and monitored.

Staff had received infection prevention and control training relevant to their roles. During our onsite inspection, a sample of equipment we checked was visibly clean. The service had cleaning schedules available which outlined how staff should clean the building and its equipment. The service demonstrated how these were monitored for completion to maintain effective oversight of cleaning arrangements.

We did not look at Medicines optimisation during this assessment. The score for this quality statement is based on the previous rating for Safe.