Stroud Green Medical Clinic

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 the practice’s leadership, management and governance assured high-quality, person-centred care and promoted an open and 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 practice 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.

Leaders had clearly set out roles and accountabilities, ensuring responsibilities were understood at every level of the practice. Staff had contributed to the development of the practice’s vision and strategy, which was kept under review. Leaders monitored and reviewed progress against the delivery of their strategy.

Staff and leaders actively promoted equality and diversity and worked to identify the causes of any workforce inequalities. They demonstrated a positive and compassionate listening culture that focused on learning and development.

Staff reported that they had felt well supported by the GP partners and practice manager and were able to raise concerns and suggest improvements. Staff told us that they had felt listened to and described the team as supportive and collaborative. Feedback about leaders had been consistently positive, and a positive and inclusive working culture was described across the practice.

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.

Theservicehad clear responsibilities, roles, systems of accountability and good governance. They used theseto manageand deliver good quality, sustainablecare, treatment and support. They act on thebest information about risk, performanceand outcomes, and sharethis securely with others when appropriate.

All staff we spoke with were clear about their individual roles and responsibilities. Leaders proactively supported staff and regularly met with them to complete appraisals and performance reviews. The provider had established governance processes in relation to the quality statements we reviewed during this assessment, which were appropriate for their practice.

Required policies and procedures were accessible to staff, kept up to date and aligned with current guidance. Leaders held regular meetings with staff, during which they discussed emerging risks and potential improvements to the practice. Actions arising from meetings were clearly documented and shared with staff. Staff took confidentiality and information security seriously, which included verifying people’s identity during remote consultations. Staff submitted data and notifications to external agencies as required.

The practice had developed an internal IT system to support policy management and governance processes. Staff were able to access, review and acknowledge policies relevant to their roles through a single platform. The system also provided real-time guidance by directing staff to relevant policies and identifying appropriate actions or policy leads. Oversight arrangements enabled managers to monitor whether policies were current, reviewed and understood by staff. The practice told us the system was being further developed to incorporate updates from national guidance and regulatory publications, including CQC Mythbusters, NICE and MHRA guidance, to support the timely review and updating of policies when changes occurred.

A staff survey had been completed, and feedback received regarding pay and staff wellbeing was acted upon. As a result, staff received a pay increase, one to one wellbeing meetings were introduced, and a wellbeing pack containing details of local support services was made available to staff.

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.