Rainhill Village Surgery

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 staff protected people from avoidable harm and made sure care was delivered from environments that were clean and well maintained. 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 provider detected and controlled potential risks in the environment. They made sure equipment, facilities and technology supported the delivery of safe care. A range of contracts were in place to ensure the premises were maintained appropriately.

The service was located in an adapted building. All required aids, adaptations and facilities were in place to ensure the premises were fully accessible for all people. There was 1 treatment room located on the first floor but the majority were located on the ground floor and there was ramped access to the building.

Staff and leaders completed health and safety risk assessments and undertook health and safety related audits. Health and safety policies and procedures were in place, including those related to fire safety. Staff had been provided with training in health and safety related topics such as fire safety, infection control and manual handling. Staff told us they had no concerns with the arrangements in place for ensuring health and safety.

There was a business continuity plan in place to provide guidance for dealing with a major disruption to the service, for example an IT failure.

The provider made sure there was a good level of qualified, skilled and experienced staff, who received effective support, supervision and opportunities to develop. The ratio of clinical staff to registered patients was good with high number of appointments being made available as a result. This was reflected in high levels of patient satisfaction. Feedback we viewed from people who used the service was highly positive with comments indicating high levels of satisfaction with members of the staff team and with access to clinicians. People’s experience of their interactions with members of the staff team and the service overall were frequently described as ‘excellent’.

Staff had protected learning time for them to undertake training, learning and professional development and they received training appropriate and relevant to their role. Staff told us they worked well together to provide safe care that met people’s individual needs.

Leaders ensured staff were up to date with the training the provider had deemed mandatory and ensured staff operated within their agreed areas of competence. The service followed safe recruitment procedures when employing staff, which was in line with national legislation. This included identity checks, review of qualifications, obtaining of professional references and a criminal records check. However, we noted some gaps in records to confirm the immunisation status of members of the team.

All new staff underwent an induction programme and were required to undertake mandatory training within an appropriate timescale. Staff were provided with the support they needed to deliver safe care and treatment.

People who used the service benefited from a stable clinical team, resulting in consistent care and treatment. There were appropriate arrangements in place for covering staff sickness, absence and vacancies and the use of temporary staff was minimal.

The provider assessed and had procedures in place to prevent the risk and spread of infection. The facilities and premises were appropriate for the provision of clinical care and to minimise the spread of infection. Personal protective equipment was in good supply and located appropriately around the premises.

There were clear roles and responsibilities around infection prevention and control with a dedicated lead person and staff had undergone training appropriate to their role.

Cleaning schedules were in place and cleaning equipment was stored securely and in line with best practice.

During our onsite visit, the premises and a sample of equipment were reviewed and noted to be visibly clean. The infection prevention and control lead conducted regular audits to ensure compliance and took action where necessary to mitigate any identified risks.

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