Roslea 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

We looked for evidence that service leadership, management and governance assured high-quality, person-centred care; supported learning and innovation; and promoted an open, fair culture. 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.

The service had a shared vision, strategy and culture. This was based on transparency, equity, equality, human rights, diversity, inclusion and engagement. Staff and leaders understood the challenges and the needs of people and their communities.

All staff contributed to the development of the service’s vision and strategy, which was regularly reviewed to ensure it remained relevant and effective. Leaders actively monitored progress against strategic objectives and ensured delivery remained on track. Staff and leaders promoted equality and diversity, working collaboratively to identify and address any workforce inequalities. A positive, compassionate listening culture was evident, with a strong focus on continuous learning and development.

The culture of the service was underpinned by transparency, inclusion, and engagement. The provider demonstrated a clear understanding of the challenges and needs of its patient population and local community. They worked in partnership with other agencies to deliver coordinated and effective support, ensuring people’s needs were met in a holistic and responsive way.

Staff told us there was an open-door policy where they could access and speak freely with leaders. There was an emphasis on the safety and wellbeing of staff. Staff were informed of changes in the service through regular meetings and emails.

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.

We did not look at Freedom to speak up during this assessment. The score for this quality statement is based on the previous rating for Well-led.

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 acted on the best information about risk, performance and outcomes, and shared this securely with others when appropriate.

Leaders proactively supported staff and regularly met with them to complete appraisals and performance reviews. Staff could access all required policies and procedures, which were kept up to date and reflected latest guidance. Leaders held regular meetings with staff, during which they discussed emerging risks and potential improvements to the service. Leaders clearly recorded any actions that arose from these meetings and shared these with staff. Staff took confidentiality and information security seriously. The service submitted data and notifications to external agencies as required.

All staff we spoke with were clear on their individual roles and responsibilities. Leaders supported staff and regularly met with them to complete appraisals and performance reviews.

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.