Westgate Surgery

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 looked for evidence that service leadership, management and governance assured high-quality, person-centred care; supported learning and innovation; and promoted an open, fair culture. 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.

The service had a shared vision, strategy and culture. This was based on transparency, equity, equality, human rights, diversity, inclusion and engagement. Staff and leaders understood the challenges and the needs of people and their communities. In addition to local managers, senior leadership support from the provider was in place.

The service had a set of core values that included patient-centred care, quality and safety, compassion and respect. Most staff were aware of these values and were passionate about providing the best care for patients. Progress against strategic objectives was regularly monitored and reviewed to ensure the delivery of intended outcomes.

Staff described a positive learning culture within the service, where ongoing training and skills development were encouraged. They also reported a positive team culture and said they felt supported by GPs and leaders. Staff we spoke to were positive about the culture within the service; they told us it was open and transparent and that they felt supported in their roles.

We did not look at Capable, compassionate and inclusive leaders during this assessment. The score for this quality statement is based on the previous rating for Well-led.

We did not look at Freedom to speak up during this assessment. The score for this quality statement is based on the previous rating for Well-led.

We did not look at Workforce equality, diversity and inclusion during this assessment. The score for this quality statement is based on the previous rating for Well-led.

The service had clear responsibilities, roles, systems of accountability and good governance. They used these to manage and deliver good quality, sustainable care, treatment and support. They acted on the best information about risk, performance and outcomes and shared this securely with others when appropriate.

Staff we spoke to were clear about their individual roles and responsibilities, as well as those of other team members. Leaders proactively supported staff, and huddles were held daily. Time was given to talk about any issues of concern, maintenance, issues, safeguarding issues and any support needs. In this meeting positive feedback was also discussed. All meetings had recorded minutes and could be viewed by staff who were unable to attend.

Staff could access all required policies and procedures, which were kept up to date and reflected the latest guidance. The service had a business continuity plan with clear guidance for systemic failures and emergencies which put the operation of the service at risk.

We saw that staff treated patient confidentiality and information security seriously, and that staff were aware of information governance best practice and had completed mandatory information security training.

We did not look at Partnerships and communities during this assessment. The score for this quality statement is based on the previous rating for Well-led.

We did not look at Learning, improvement and innovation during this assessment. The score for this quality statement is based on the previous rating for Well-led.