During an assessment under our new approach
Date of Assessment: Statham Grove Surgery is a GP practice and delivers services to approximately 9,166 people under a contract held with NHS England. According to the latest available data, the ethnic make-up of the service area is approximately 64.92% White, 12.92% Black 7.47%, Asian, 7.35 Mixed, and 7.34% Other. Information published by the Office for Health Improvement and Disparities shows deprivation within the service population group is in the fifth decile (5 of 10). The lower the decile, the more deprived the service population is relative to others.
We undertook this assessment due to the time elapsed since the previous inspection. This was a focused assessment. We assessed 10 specific quality statements, across 5 key questions. This assessment considered the demographics of the people using the service, the context the service was working within and how this impacted service delivery. The assessment did not contain a review of clinical practices. Where relevant, further commentary is provided in the quality statements section of this report.
Staff kept facilities clean and assessed and managed the risk of infection well and took steps to control the risk of it spreading. However, the service did not always detect and control potential risks in the care environment.
There were enough staff with the right skills, qualifications and experience. However, the service was not fully compliant with the required recruitment checks and, there was not always a full immunisation history, or risk assessment, of staff vaccinations against potential healthcare acquired infections.
Staff supported people to live healthier lives, monitoring their care and treatment to ensure they received positive and consistent outcomes. Staff treated people with kindness, empathy and compassion, and respected their privacy and dignity. People could access care, treatment and support when they needed it. Leaders and staff were alert to discrimination and inequality that could disadvantage groups of people who used the service and sought ways to address any barriers.
The service had a clear vision and strategy, which considered the needs of the people who used their service and the wider community. Staff understood their individual roles and responsibilities. Leaders accounted for the actions, behaviours and performance of staff through clear and effective governance processes.