Grange 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 the leadership, management and governance of the service 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.

Leaders ensured there was a shared vision, strategy and culture that staff in all areas knew, understood and supported. They demonstrated a positive and compassionate listening culture that focused on learning and development.

Staff spoke of a shared vision to provide a high quality, patient centred service that was responsive to people’s needs. Staff described good teamwork and a service that was clear on its function to work in the interests of patients and provide the best patient experience they could.

Regular meetings were held for clinical and non-clinical staff. Members of the team told us that communication was effective, and they felt included in decisions about the service.

The culture of the service was based on transparency, inclusion and engagement. The provider understood the challenges and needs of people and their communities and was working with partner agencies to support people effectively.

Staff and leaders actively promoted equality and diversity and worked to identify the causes of any workforce inequalities.

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.

There were clear and effective arrangements for governance, management and accountability. These were used to manage and deliver good quality, sustainable care, treatment and support.

As part of the established governance processes, a regular suite of searches of the clinical record system were being run to identify patient needs and ensure these were being met.

The provider used data to monitor and improve performance, and they acted on information about risk, performance and outcomes.

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 readily access all required policies and procedures.

Regular meetings were held by the clinical team where patient concerns and emerging risks were discussed. Wider meetings were also held across the team.

There were arrangements for identifying, managing, and mitigating risks. Health and safety related systems and procedures were in place with a range of regular checks on the environment and on working practices. A major incident plan was in place.

The practice used digital services securely and effectively. There were arrangements in place for the availability, integrity and confidentiality of data and records. Staff took patient confidentiality and information security seriously.

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.