The Sele Medical Practice

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 provider detected and controlled potential risks in the care environment. They made sure equipment, facilities and technology supported the delivery of safe care.

The provider had contracts to ensure the premises was maintained. Staff and leaders completed health and safety risk assessments and undertook audits to ensure they had identified and addressed all risks. The provider 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 provider 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 provider employed a range of clinical and non-clinical staff, including GPs, nurses, receptionists and care coordinators. Leaders monitored training compliance and ensured staff completed mandatory training and worked within their scope of competence. Training compliance was high across the service, with most staff up to date with training requirements. We identified a gap in learning disability training, with 14 of 21 staff (67%) having completed the training. The provider responded promptly to our feedback and put arrangements in place to ensure the remaining staff completed the required training.

The provider had arrangements in place to support staff through supervision, appraisal and professional development. Leaders provided opportunities for staff to discuss performance, learning and development needs. We identified some minor gaps in oversight, including GP supervision records not being maintained centrally and the absence of a locum induction pack. Leaders responded positively to our feedback and provided assurance that both issues would be addressed. Weekly clinical meetings were attended by all GPs.

The provider followed safe recruitment procedures in line with relevant legislation and guidance. Recruitment records demonstrated that appropriate pre-employment checks had been completed, including identity verification, confirmation of qualifications, professional references and Disclosure and Barring Service (DBS) checks where required.

The provider assessed and managed the risk of infection. They detected and controlled the risk of it spreading and shared concerns with appropriate agencies promptly. Cleaning schedules were in place, setting out the required cleaning activities for the premises and equipment. Leaders maintained oversight of cleaning arrangements through regular monitoring and spot checks to ensure these were completed as required.

During our site visit, the premises and a sample of equipment reviewed were visibly clean and well maintained. The infection prevention and control lead carried out regular audits and risk assessments to monitor compliance and identify any areas requiring improvement. Where risks were identified, appropriate action was taken to mitigate them. Staff had completed appropriate infection prevention and control training to support the delivery of safe care.

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