All Saints Medical Centre PMS

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

We found the service was providing well-led services because staff told us they felt comfortable raising concerns with managers and leaders. We saw evidence that the views of patients had been sought and acted upon. The provider had taken action on risks identified during this assessment including those relating to safety alerts, patients prescribed medicines requiring monitoring, and patients with long-term conditions. Action was still needed in relation to the management of risks associated with the emergency equipment held by the practice.

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 provider had systems in place to ensure governance documents were regularly reviewed. Our inspection identified that improvements were required in relation to management of risks relating to safety alerts, patients prescribed medicines requiring monitoring, patients with long-term conditions and emergency equipment held by the practice. As a result of our inspection, we saw action had been taken in relation to safety alerts, patients prescribed medicines requiring monitoring, and patients with long-term conditions. Action was still required to ensure equipment required for use in emergencies was held by the practice, in particular, a set of paediatric defibrillator pads.

Staff told us leaders were visible and approachable. We were told staff felt comfortable raising concerns with managers. The provider told us they used feedback from the practice’s patient participation group (PPG) to drive improvement. For example, patients said when they contacted the practice by telephone, there would be a long wait in a telephone queue with no information about their position in the queue. The provider responded by implementing a call back service so that patients no longer had to wait on the telephone. The queue position was also shared with patients who did wish to hold. In addition to this, the practice implemented an online booking system in an attempt to reduce the demand for appointments via telephone.

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.