Dr Girija Kugapala Also known as E12 Medical Centre

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 practice premises was situated on the ground floor within a purpose-built shared building. The premises were secure and maintenance contracts were in place.

Staff and leaders had completed health and safety, legionella, and fire risk assessments and audits to ensure they had identified and addressed risks.We observed fire exits were clear and fire safety equipment was easily available and regularly checked by an external company.

Equipment used to support the delivery of care and treatment was maintained and serviced in accordance with relevant guidance.

An accident and incident log were maintained, and staff were able to describe how environmental risks were identified, reported and mitigated and they demonstrated a clear understanding of their responsibilities for maintaining a safe environment.

The service had a business continuity plan which was reviewed regularly and clearly outlined how essential services would be maintained in the event of a disruption.

The service made sure there were enough qualified, skilled and experienced staff that received appropriate support and supervision. Staff had completed the training or updates needed.

The service employed a range of clinical and non-clinical staff, including GPs, nurses and healthcare assistants. Leaders ensured staff completed mandatory training relevant to their roles.

Safe recruitment procedures were in place and implemented in line with national legislation. This included identity checks, verification of qualifications, professional references and criminal records (DBS) checks. Medical indemnity insurance was in place for clinical staff, where required.

The service made sure there were enough qualified, skilled and experienced staff, who received effective support, supervision and development. Staff worked effectively together to deliver safe care that met people's individual needs. Staff worked within their areas of competence and were supported to develop their skills and knowledge through continuing professional development, including care coordinators undertaking training in social prescribing.

The service assessed and managed the risk of infection. They detected and controlled the risk of it spreading and systems were in place to ensure concerns would be promptly shared with appropriate agencies.

During our onsite visit, the premises was tidy and a sample of equipment reviewed was visibly clean. Suitable procedures were in place for the handling of clinical specimens and sharps, including the management of needlestick injuries. A clinical waste pre-acceptance audit had been completed, and comprehensive cleaning schedules for the premises and equipment were implemented and monitored.

The practice had a designated infection, prevention and control lead and all staff had received relevant training. The service’s infection prevention and control lead conducted regular risk assessments and audits to ensure compliance and acted where necessary to mitigate any identified risks.

Cleaning schedules were in place and followed. Policies and procedures were available to staff, which provided guidance and information on infection prevention control (IPC) practices.

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