The Shaftesbury Medical Centre

On this page

• 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

At our last assessment, we rated this key question as Requires Improvement. At this assessment, the rating has changed to Good.

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.

The service fostered a positive culture where people felt they could speak up and their voice would be heard. The practice had established Freedom to Speak up arrangements with other practices in the primary care network as well as an internal Freedom to Speak up guardian. Staff were aware of how to raise concerns.

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 clear responsibilities, roles, systems of accountability and good governance. They used these to manage and deliver good quality, sustainable care, treatment and support. They act on the best information about risk, performance and outcomes, and share this securely with others when appropriate.

During our last assessment in April 2025, we found that the service did not always have clear systems of good governance. Managers held regular practice meetings with staff however this had not been clearly recorded as to which actions arose from these meetings as well as which significant events were discussed. During this assessment we found none of these concerns. Significant events were clearly recorded, learning from them evidenced and we saw that they were discussed at practice meetings as part of an agenda and minuted. Complaints were also seen to be discussed in meetings as part of an agenda, learnt from and minuted.

During our last assessment in April 2025, we found evidence of uncollected prescriptions which had not been disposed of after 6 months. During this assessment we found no concerns in this regard and all prescriptions had been dealt with.

During our last assessment in April 2025, we found that the practice did not have a practice safeguarding register for vulnerable adults. We had found that some staff we spoke to, other than the safeguarding lead, did not fully understand safeguarding procedures. During this assessment we found none of those concerns. The practice had a clear practice register for adults and children. All patients on the safeguarding register were coded appropriately and had pop up alerts. The only issue we found was that not all household members of those on the adult register were coded. The household of those on the children register were coded. The practice recognised the complexity of coding in regard to household members for adults and were going to hold a clinical safeguarding meeting to review the most appropriate method for coding households of adult safeguarding patients. Their policy also did not reflect if adult or children household were coded or not.

During our last assessment in April 2025, we found that there were gaps in training and recruitment files for some salaried and locum staff. During this assessment, we found that most staff had all training and all staff had their recruitment files. We found 1 locum staff to be missing Mental Capacity Act training, Chaperone training and Learning disability Autism training. This was actioned after the site visit, and all staff were now up to date with their training.

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.