Bridgemary Medical Centre

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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 that service leadership, management and governance assured high-quality, person-centred care; supported learning and innovation; and promoted an open, fair culture.

We assessed one quality statement in the well-led key question. At our last inspection, we rated this key question as Good. Following this inspection, 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 Shared direction and culture during this assessment. The score for this quality statement is based on the previous rating for Well-led.

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 strengthened its governance, management and oversight arrangements. Clear responsibilities, defined roles and systems of accountability were in place and were being used effectively to manage and deliver good quality, sustainable care, treatment and support. Leaders now acted on information relating to risk, performance and outcomes, and shared this securely with relevant stakeholders when appropriate.

Leaders provided structured support to staff, and all staff we spoke with were clear about their individual roles and responsibilities. Regular appraisals and performance reviews were in place and were used to support professional development and identify learning needs. Staff told us these processes were well organised and helped them understand expectations and priorities.

Governance processes were appropriate for the size and scope of the service. Staff had access to relevant policies and procedures, which were kept up to date and reflected current guidance. Leaders had improved internal communication, ensuring staff had timely access to information and opportunities to contribute to service development and improvement.

Leaders had embedded the re-established Patient Participation Group into their governance arrangements, using it to review patient experience data and GP Patient Survey results and to monitor whether improvement actions were having the intended impact over time.

Regular service meetings were now held to discuss clinical concerns, emerging risks and operational issues. These meetings were consistently documented, with actions clearly recorded and shared with the wider team. Staff told us this structured approach had improved oversight and supported a more proactive response to risks.

Leaders had also strengthened oversight of high-risk areas, including medicines governance. Improved monitoring arrangements, audit processes and clinical oversight were now in place to support safe prescribing and ongoing compliance with best practice.

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.