The Weaver Vale 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 people were protected from abuse and avoidable harm. At our last assessment, we rated this key question as good. At this assessment, the rating remains the same.

This service scored 72 (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 made sure there were enough qualified, skilled and experienced staff, who received effective support, supervision and development. Staff worked together well to provide safe care that met people’s individual needs.

Leaders ensured staff were up to date with their training which the service had deemed mandatory and that they operated within their agreed areas of competence. The service did not always follow safe recruitment procedures when employing staff, in line with national legislation. Of the recruitment files reviewed, we found that an employment contract was not in place, records of registration checks were not maintained, and criminal record checks had not been carried out for 2 individuals where required. Following our assessment, the provider has submitted evidence demonstrating that action is being taken to resolve these concerns.

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 staff should clean the building and its equipment. The service demonstrated how cleaning arrangements were monitored for completion, ensuring appropriate oversight was maintained. During our onsite visit, the service's premises and a sample of equipment reviewed was noted to be visibly clean. The service’s infection prevention and control lead conducted regular risk assessments and audits to ensure compliance and took action where necessary to mitigate any identified risks. Staff had completed infection prevention and control training; however, the infection prevention and control lead had not undertaken training appropriate to this role. We discussed this with the provider who wasreceptive to our feedback and provided assurance that this would be addressed.

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