Manchester St Anns Square

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 found this practice was providing well-led care in accordance with the relevant regulations and had taken into consideration appropriate guidance.

Find out what we look at when we assess this area in our information about our new Single assessment framework.

The judgement for Shared direction and culture is based on the latest evidence we assessed for the Well-led key question.

The judgement for Capable, compassionate and inclusive leaders is based on the latest evidence we assessed for the Well-led key question.

The judgement for Freedom to speak up is based on the latest evidence we assessed for the Well-led key question.

The judgement for Workforce equality, diversity and inclusion is based on the latest evidence we assessed for the Well-led key question.

The practice had a governance system that included policies and procedures, which were accessible to staff and were reviewed on a regular basis.

Overall, governance systems and processes were established and supported the delivery of safe care and treatment. However, the inspection identified areas for improvement in the management and oversight of risks, including fire safety and Legionella. The provider responded promptly to the findings, with assurances provided that outstanding actions would be reviewed and completed following the inspection.

Staff were aware of the importance of protecting patients’ personal information. Staff password protected patients’ electronic care records, and paper records were stored securely and complied with General Data Protection Regulations.

There were effective processes for identifying and managing risks, investigating incidents and accidents, and for receiving and acting on safety alerts.

The practice had systems and processes for learning, quality assurance and continuous improvement. This included undertaking audits according to recognised guidance.

Concerns and complaints were responded to appropriately, and outcomes were discussed to share learning and for improvement.

Staff had clear responsibilities, and systems of accountability to support good governance.

Staff feedback was obtained through meetings, surveys and informal discussions. Staff were encouraged to share suggestions for improving the service and told us these were listened to and acted upon where appropriate. For example, staff highlighted concerns relating to temperatures within the practice, and the ongoing issues with the air conditioning could affect both staff and patient comfort. The practice manager told us they were aware of the concerns and were actively exploring options to address this and improve the working environment.

The practice had taken steps to improve environmental sustainability. For example, staff described a range of initiatives including recycling, reducing paper use through electronic records and documentation, switching off lights and equipment when not in use, and reducing reliance on single-use plastics where possible.

The judgement for Partnerships and communities is based on the latest evidence we assessed for the Well-led key question.

The judgement for Learning, improvement and innovation is based on the latest evidence we assessed for the Well-led key question.