Roslea 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 asgood. 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 was maintained.Staff and leaders completed health and safety risk assessments and undertook audits to ensure they had identified and addressed all risks.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.

Records showed fire alarms were routinely tested, and the practice had appointed their own fire marshals to direct patients and staff in the event of a fire. All staff completed fire safety training and there were regular fire drills.

The service had step-free access at both the front and rear of the building, making it easy for wheelchair users to enter. The building was arranged over two levels; however, a fully functioning lift was available to ensure accessibility throughout.

The service 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 service employed a range of clinical and non-clinical roles, which included GPs, nurses, and medical secretaries. Leaders ensured all staff were up to date with their training which the service had deemed mandatory and operated within their agreed areas of competence.

The Service made sure that staff were suitable for employment. Policies for appraisals and safe recruitment practices including Disclosure and Barring (DBS) and registration checks were in place. We reviewed 5 personnel files and found appropriate checks such as previous employment record, immunisation status and proof of identity checks had been completed.

The service assessed and managed the risk of infection. The service had cleaning schedules available, which outlined how staff should clean the building and its equipment. The service demonstrated how these were monitored for completion to maintain oversight of cleaning arrangements.

There were clear roles and responsibilities around infection prevention and control with a dedicated lead person and staff had undergone training appropriate to their role. The infection prevention and control leads conducted regular audits to ensure compliance and took action where necessary to mitigate any identified risks. During our onsite visit, the premises and a sample of equipment were reviewed and noted to be visibly clean.

Staff vaccination was maintained in line with current UK Health and Security Agency (UKHSA) guidance.

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