Stanmore Medical Group

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 and effective governance, management and accountability arrangements. Staff understood their role and responsibilities. Managers and leaders could account for the actions, behaviours and performance of staff. There were robust arrangements for the availability, integrity and confidentiality of data, records and data management systems. Information was used effectively to monitor and improve the quality of care. Leaders implemented quality frameworks to improve equity in experience and outcomes for people using services and tackle known inequalities.

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.

Leaders told us they held weekly meetings to agree a practice development plan, succession planning and review staffing levels to promote sustainability. Staff told us they discussed complaints, significant events and audits were highlighted to clinical staff to facilitate shared learning. There was evidence of meetings held between managers/partners and the practice team to discuss key issues affecting the staff and team, to share information, and provide an opportunity for staff to raise any concerns. Minutes of PPG meetings held with the practice demonstrating a commitment to engage with patient representatives and seek their views in shaping services to ensure patients views are heard. Partners worked collaboratively with other practices through their primary care network and local medical committee. Staff wellbeing was a strong focus which was evident through speaking with staff. Leaders demonstrated that they would address any areas for improvement promptly. Due to the provider increasing with amalgamating with another practice the previous year, the practice was in design of setting up a Board of Directors. This was due to be commenced later in 2024.

There were clear and effective governance, management, and accountability arrangements. Staff understood their role and responsibilities. Managers and leaders could account for the actions, behaviours and performance of staff. There were robust arrangements for the availability, integrity, and confidentiality of data, records, and data management systems. Information was used effectively to monitor and improve the quality of care. Leaders implemented quality frameworks to improve equity in experience and outcomes for people using services and tackle known inequalities. There was a comprehensive overarching risk assessment system in place to monitor risks to the service. An audit program was in place to monitor performance and promote quality improvement. There was a suite of policies to support governance throughout the practice. A data security and protection toolkit policy set out the practice framework for maintaining and enhancing high-quality data such as complete, accurate, appropriate, accessible, and timely data in all forms. A freedom to speak up/whistleblowing policy was in place. There was a named freedom to speak up guardian practice manager within North Hertfordshire. There was a Duty of Candour Policy in place. Significant events and complaints were reported, recorded, and reviewed every month to look at trends and themes. The provider had completed 88.8% of learning disability checks and all practice learning was shared with the practice team and changes were made to make improvements after an event had occurred.

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.