Abbey House Medical Practice

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

There were clear responsibilities, roles and systems of accountability to support good governance and management. Leaders demonstrated that they understood the challenges to quality and sustainability and had taken actions necessary to address them.

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 Shared direction and culture during this assessment. The score for this quality statement is based on the previous rating for Well-led.

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 practice had a Business Development plan which outlined the practice strategy for the next 3 years. The strategy focused on the requirement to deliver high-quality, safe and effective patient care. The plan included intentions for future initiatives and improvements in the services offered to patients by the practice. The practice had a clear management structure in place with designated staff members who acted as leads for clinical and non-clinical areas. There were comprehensive staff rotas and workforce planning documents to ensure they were enough staff to meet patients’ needs and any absences were covered appropriately. The practice held regular partnership meetings, departmental meetings and staff meetings. Feedback from staff was pre-dominantly positive. Staff generally reported they were supported in their roles. Some members of the patient support team felt they needed more support from the practice management particularly when meeting the demand from patients. The practice had a whistleblowing policy in place and staff had access to a Freedom to Speak Up Guardian. The practice engaged and sought feedback from patients via surveys and the Patient Participation Group (PPG). Feedback from the PPG was positive, they informed us they felt listened to by the practice.

The practice had a variety of policies and procedures in place to govern the practice. These were accessible for all staff on the practice internal computer system. Staff were clear about their roles and responsibilities. All staff had a job description. There was a Business Continuity policy to provide a first response and a framework under which the practice could be managed and continue to operate under exceptional and adverse circumstances. In addition to the Business Continuity policy, the practice provided us with two examples of major incident plans for measles and COVID-19 which included risk assessments and action plans.

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.