Binbrook Surgery

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• 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 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.

All staff had been involved in and contributed to the development of the service’s vision and strategy, which was kept under review and updated where necessary. Leaders monitored and reviewed progress against the delivery of their strategy. They were aware of local challenges which affected their service and worked with other agencies to address these challenges. Staff and leaders actively promoted equality and diversity and worked to identify and act on the causes of any workforce inequalities. They demonstrated a positive and compassionate listening culture that focused on learning and development. Staff told us they felt very well supported by leaders and peers and gave examples of flexibility and adapted work patterns to support their situation.

There was a patient participation group (PPG) who represented the views of people using the service. Leaders held regular meetings with the PPG. However, representatives from the PPG felt the practice could do more to listen to and act upon their suggestions.

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.

We saw that leaders regularly reviewed systems and processes and made changes to improve efficiency, safety and patient experience.

All staff we spoke with were clear on their individual roles and responsibilities. Leaders proactively supported staff and regularly met with them to complete appraisals and clinical supervision. The provider had established governance processes in relation to the quality statements we reviewed during this assessment, which were appropriate for their service. Staff told us how they could easily access all required policies and procedures, which were kept up to date and reflected latest guidance. Leaders held a range of regular meetings with staff, during which they discussed risks and potential improvements to the service. Leaders clearly recorded any actions that arose from these meetings and shared these 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.

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.