Petersfield 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 property was owned and managed by the provider. The practice detected and controlled potential risks within the care environment. They made sure equipment, facilities and technology supported the delivery of safe care. The practice had service contracts in place to ensure the premises were maintained.

Staff and leaders completed health and safety risk assessments and undertook audits to ensure they had identified and addressed all risks. However, the annual fire risk assessment was carried out by the practice manager who may not have had the appropriate knowledge or training to complete the assessment. Following our assessment, the practice manager had arranged for an independent contractor to complete the assessment.

Staff ensured equipment, facilities and technology were properly maintained to support the delivery of safe care. A business continuity plan was in place to support service resilience and had last been reviewed in June 2026.

The practice followed safe recruitment procedures when employing staff, which were in line with national legislation. This included identity checks, the review of qualifications, obtaining professional references, checking immunisation status and undertaking a criminal records check. During the site visit, we reviewed 5 staff files and found all the required documents checks were in place, apart from proof of address, which the practice manager explained was obtained but generally not kept in the staff file. Following the assessment the provider has strengthened the process and are retaining appropriate proof of address documentation.

The leaders had some systems in place to demonstrate staff had the necessary skills, knowledge, and experience for their roles. Staff had completed the necessary mandatory training.

The practice manager confirmed that clinical staff received regular supervision, including case reviews. There was a supervision policy in place, dated April 2026, the practice manager explained all role specific training was held in staff files. Following the assessment the provider submitted information to demonstrate that work was taking place to further assure the leadership of the staff’s clinical competency.

We observed the premises were clean and tidy. The staff effectively assessed and managed infection risks. A designated infection prevention and control lead was in place. Staff had completed their infection prevention and control training. Cleaning schedules were followed, and regular audits and risk assessments were completed with actions taken to reduce risks.

We reviewed staff employment records which included a record of staff immunisation in accordance with the NHS Green Book: Immunisation Against Infectious Disease.

The provider explained that the practice had previously completed two full Legionella risk assessments. After all required remedial works were completed, they were advised that no further assessment was necessary unless changes were made to the water system. The practice continued to carry out regular water temperature monitoring and annual external water sampling. Following the assessment, a new independent contractor was commissioned to undertake a further full Legionella risk assessment.

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