Dr J Sullivan & Partners Also known as Moorside 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 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 71 (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.

Staff were familiar with the service’s vision and strategy. Leaders monitored and reviewed progress against the delivery of their strategy. Staff told us that the culture of the service was open and friendly, and that leaders and managers were approachable and supportive.

The service was aware of local challenges which affected their service and worked to address these challenges.

Staff and leaders actively promoted equality and diversity and worked to identify the causes of any workforce inequalities. They demonstrated a positive and compassionate listening culture that focused on learning and development.

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 did not always demonstrate good governance due to gaps in the effective oversight of some processes including staff training and supervision, infection prevention and control, premises-related risk management, and regulatory requirements associated with operating a registered service. However, when we informed the service of these issues, immediate action was taken to rectify them. At the time of the assessment the service’s registered manager and partnership registration details were not up to date, and an appropriate statement of purpose was not in place. In addition, the business plan had not been reviewed or updated for a significant period. Action was taken to rectify the registration issues and leaders told us the business plan would be updated collaboratively with staff in the coming months.

All staff we spoke with were clear on their individual roles and responsibilities. Staff could access all required policies and procedures. Leaders held regular meetings with staff and recorded any actions that arose from these meetings.

Staff took confidentiality and information security seriously and had completed data security awareness training.

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.