The High Street Surgery

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.

The service had contracts to ensure the premises were maintained. Staff and leaders completed health and safety risk assessments and undertook audits to ensure they had identified and addressed all risks. The service had a business continuity plan which was regularly reviewed and outlined how the service should continue to operate 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. They worked together well to provide safe care that met people’s individual needs.

The service included a range of clinical and non-clinical roles, which included GPs, nurses, paramedics and pharmacists. Leaders ensured staff were up to date with most of their training which the service had deemed mandatory and operated within their agreed areas of competence.

However, not all staff had received the required training for how to interact appropriately with people with a learning disability and autistic people, at a level appropriate to their role. Leaders were aware of this and there was evidence of efforts to enrol all staff onto the training.

Not all staff who had direct contact with patients had provided evidence of having the required immunisations. During the inspection, leaders progressed this and additional information was added to staff records.

The service followed safe recruitment procedures when employing staff, which were in line with national legislation. This included identity checks, review of qualifications, obtaining of professional references and a criminal records check.

Within the administrative teams, processes for different tasks were documented and staff were cross trained to minimise skills gaps to ensure continuity of the service was maintained.

The service assessed and managed the risk of infection. They detected and controlled the risk of it spreading and shared concerns with appropriate agencies promptly.

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 oversight of cleaning arrangements.

During our onsite visit, the service's premises and a sample of equipment reviewed was noted to be visibly clean.

A recent Infection prevention and control audit had been carried out by the Integrated Care Board (ICB), and an action plan had been created to address the concerns. This action plan was monitored regularly. Staff had completed relevant training in infection prevention and control.

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