Wychwood Surgery

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

Leadership, management and governance assured person-centred care; supported learning and innovation; and promoted an open, fair culture.

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.

The practice was led by two partners and a practice manager and supported by other leadership roles. There was a collaborative approach to leadership within the practice and an open culture.

Staff feedback highlighted communication was proactive and strong amongst and between teams. However, some staff noted that informal feedback could be improved with more formal channels of feedback, such as more whole team meetings. The partners considered this feedback from the inspection findings to identify if any improvements could be made.

Feedback we received from staff regarding the culture at the practice was positive, suggesting it was a positive and friendly environment to work in.

The practice benefited from experienced leaders who ensured oversight mechanisms were in place that helped to ensure consistency, clearer frameworks and stability. However, the practice reflected on areas of training which were not always monitored effectively during the inspection and made improvements to the monitoring systems for training.

Staff told us there were inclusive leaders at all levels who understood the context in which they delivered care, treatment and support and embodied the culture and values of their workforce and organisation.

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. Staff were aware of how to raise concerns and were confident those would be acted upon.

The service valued diversity in their workforce. They work towards an inclusive and fair culture by improving equality and equity for people who work for them.

Policies and procedures to promoted diversity and equality were in place. Staff had received training in equality, diversity and inclusion and were aware of supporting people with protected characteristics such as age, gender, religion and disability.

The service had clear responsibilities, roles and systems of accountability. Leaders and managers supported staff, and all staff we spoke with were clear on their individual roles and responsibilities.

Managers met with staff regularly to complete appraisals and performance reviews. Staff could access all required policies and procedures.

There were regular meetings held with staff, during which they discussed clinical concerns and emerging risks. Any actions arising from these meetings were clearly recorded and were shared with staff.

The service understood their duty to collaborate and work in partnership, so services could provide care for people with a team approach.

The provider worked with other practices within their primary care network to offer extended access.

PPG meetings took place regularly and information sharing was two ways between the PPG and practice.

The service focused on continuous learning, innovation and improvement across the organisation and local system. They encouraged creative ways of delivering equality of experience, outcome and quality of life for people. They actively contribute to safe, effective practice and research.

The practice was a GP training practice and supported trainees in their roles and worked with them closely. GP trainees had access to supervision with the clinical leads.

The practice hosted regular patient education events that were free to the local community. These focussed on clinical care plus other areas of training.

Audits were used to identify areas where care could be improved.