• Doctor
  • GP practice

Abbey Medical Practice

Overall: Good read more about inspection ratings

Evesham Medical Centre, Abbey Lane, Evesham, Worcestershire, WR11 4BS (01386) 761111

Provided and run by:
Abbey Medical Practice

Report from 15 August 2024 assessment

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Well-led

Good

Updated 26 September 2024

We assessed 1 quality statement from this key question. We have combined the scores for this area with scores based on the rating from the last inspection, which was good. Our rating for this key question remains good. Staff were clear on their individual responsibilities and were supported by management. We found the practice had governance processes in place, but systems and processes required strengthening to keep people safe.

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.

Shared direction and culture

Score: 3

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.

Capable, compassionate and inclusive leaders

Score: 3

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.

Freedom to speak up

Score: 3

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.

Workforce equality, diversity and inclusion

Score: 3

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.

Governance, management and sustainability

Score: 3

Leaders and managers supported staff, and all staff we spoke with were clear on their individual roles and responsibilities. Managers met with staff regularly to complete appraisals and performance reviews. The practice carried out a staff workforce and wellbeing survey in February 2024, where 23 staff responded. The feedback received was positive which included supportive management.

Staff could access all required policies and procedures. Managers held regular practice meetings with staff, during which they discussed clinical concerns and emerging risks. Managers clearly recorded any actions arising from these meetings and ensured they shared these with staff. There were systems and processes in place to keep people safe. These required strengthening to ensure all risks were identified and patients on medicines that required monitoring were completed in a timely manner.

Partnerships and communities

Score: 3

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.

Learning, improvement and innovation

Score: 3

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.