Mount Chambers Medical Practice

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. 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 had contracts to ensure the premises were maintained. Staff and leaders completed health and safety risk assessments and carried out audits to identify and address potential risks. Staff we spoke with were aware of the health and safety and fire arrangements in place. They had access to suitable equipment and technology to undertake their role. 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.

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, paramedics and pharmacists. Leaders ensured staff were up to date with their training which the service had deemed mandatory and operated within their agreed areas of competence.

The service followed safe recruitment procedures when employing staff, which were in line with national legislation. This included identity checks, review of qualifications, obtaining of professional references and a Disclosure and Barring Service check. However, there wasn’t evidence of staff immunisation records for all staff. During the assessment, leaders began to address this by implementing a clear programme with a target completion date.

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 these were monitored to maintain oversight of cleaning arrangements. Staff we spoke with were aware of the infection prevention and control (IPC) arrangements in place. Our review of a sample of staff records confirmed that staff had completed IPC training.

During our onsite visit, the service's premises and a sample of equipment reviewed was noted to be visibly clean. We reviewed the most recent IPC audit and found actions identified had been completed or a plan was in place for them to be completed.

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