The Spitalfields 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 people were protected from abuse and avoidable harm. 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.

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.
Contracts were in place to ensure the premises and equipment were maintained. Health and safety risk assessments and audits had been undertaken and risks identified had been addressed. There was an overarching risk register that incorporated all aspects of building safety, including but not limited to health and safety and fire risk.

There was a business continuity plan in place which outlined how the service should continue to operate in the event of a disruption. This was monitored and reviewed and shared with all staff members.
 

The service used an algorithm based on predicted activity which 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.

There were a range of clinical and non-clinical roles within the practice. We found training was up to date, learning needs and development of staff was managed appropriately, and there were processes to ensure staff were working within their agreed areas of competence.

Safe recruitment practices were followed, including ongoing monitoring and routine updates of Disclosure and Barring Service checks (DBS).
 

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 practice had a designated infection, prevention and control lead and all staff had received relevant training, including hand washing audits. Cleaning schedules were in place and followed. Risk assessments and audits were completed, and actions taken to mitigate risks, this included the mitigation of legionella risk.

Medicines were stored securely and at appropriate temperatures.
 

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