Park Lane House Medical Centre

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 service’s leadership, management, and governance assured high-quality, person-centred care and promoted an open and fair culture. At our last inspection, 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.

Leaders had established a clear vision and values which were understood by staff and embedded across the service. Staff were actively involved in developing and reviewing the practice vision, creating a shared sense of purpose and ownership of organisational priorities. Effective governance and communication arrangements supported coordinated service delivery, timely sharing of learning and continuous improvement. Leaders promoted an open and supportive culture where staff felt valued, able to raise concerns and engaged in service development, contributing to low staff turnover and workforce stability.

Clinical audit, quality improvement activity, and regular review of outcomes were used to drive improvements in patient safety and clinical practice. The provider worked collaboratively across the wider community services to improve patient access and outcomes. Investment in care coordination and wellbeing services supported approximately 150 referrals each month, demonstrating a commitment to addressing the wider determinants of health and enabling people to access personalised support.

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.

The service had effective governance and management systems to support safe, high-quality, and sustainable care. Leaders maintained clear oversight of performance, risks and service delivery through regular monitoring, audit, and shared learning. Daily morning huddles were used to review urgent issues, service pressures, and operational risks, enabling timely action, while weekly staff newsletters kept teams informed of progress, service developments, and key updates. Staff understood their roles and responsibilities, policies and procedures were up to date, and robust systems were in place for information governance, safety alerts, and business continuity. As a result, governance processes supported continuous improvement and the delivery of effective services.

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.