Narrowcliff 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 had completed the required health and safety assessments, including fire, electrical, gas and water safety. A fire risk assessment was regularly reviewed and supported by weekly fire alarm, emergency lighting checks and 6 monthly fire drills.
The service completed electrical safety testing such as portable appliance testing (PAT) and had arrangements to monitor water safety, including legionella risk assessments, water sampling, tank cleaning and temperature monitoring. Staff maintained oversight of premises safety through routine audits to ensure any risks identified that had been identified had been addressed.
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, including loss of utilities, IT failure, adverse weather and loss of premises.
 

The service employed a range of clinical and non-clinical roles, which included GPs, nurses, paramedics and other primary care network ( PCN[KD1.1] ) staff. A PCN is a group of local GP practices and healthcare professionals who work together to provide coordinated care and improve services for people in the local area. This included a social prescribing link worker and a health coach. Leaders monitored staffing levels and skill mix to support the delivery of safe and effective care for people using the service.
The service followed safe recruitment procedures when employing staff, in line with legislation. Leaders ensured staff were up-to-date with training the service had deemed mandatory and had systems to monitor staff’s compliance. Staff worked within their agreed areas of competence and received appropriate clinical oversight. Staff received clinical supervision and leaders completed competency assessments for relevant roles as part of staff’s induction to the service. The service had systems to monitor and support professional revalidation.
Staff told us they felt supported by leaders and colleagues and described a positive team culture. They said leaders were approachable, listened to concerns and supported their wellbeing and development. Staff felt able to speak up and told us communication had improved. They described workloads as manageable and said they were proud to work for the service. Feedback from GP trainees was consistently positive and highlighted supportive supervision, the services induction programme and learning opportunities from the service.
 

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 cleaning 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 site visit, the service's premises and a sample of equipment reviewed were visibly clean.
The service had an infection prevention and control (IPC) lead who conducted regular audits and monitoring to maintain oversight of IPC risks. This included an annual IPC statement as well as monthly audits and checks Staff completed relevant infection prevention and control training, including hand hygiene and aseptic non-touch technique training.
 

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