Alexandra Road Surgery Also known as Alexandra and Crestview Surgeries

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 assessed all 7 quality statements and 14 evidence categories from this key question. Our overall rating for this key question is good. We found the provider had effective governance processes and systems, which supported the safe delivery of care. Staff were clear on their individual responsibilities and knew who was accountable for each aspect of the service.

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.

The provider shared their vision, strategy and culture, this acknowledged equality, diversity, and engagement, to support the needs of people within their local population and communities.

We were provided evidence of risk assessment processes and the provider’s information sharing protocol for assurance of their shared direction and culture.

Staff told us leaders supported them to deliver care and treatment maintaining the providers vision and culture. Leaders evidenced to us through their staff records and achievements that they had the skills, knowledge, experience and credibility to lead effectively.

Staff told us the lead name at the practice for ‘Freedom to speak up’ and the process to follow both at the practice or externally when needed.

Evidence was provided within the providers whistle blowing policy of freedom to speak up.

We were told by staff and leaders they valued the diversity within their workforce.

The provider evidenced the processes and policies they applied for assurance of their equality diversity and inclusion when recruiting new staff.

We were told staff were clear about their responsibilities, roles, systems of accountability and good governance. The provider acted on information about risk, performance and outcomes, and shared this securely with others appropriately. Staff told us they took patient confidentiality and information security seriously.

The provider had established governance processes that were appropriate for their service. Staff could access all required policies and procedures in a shared secure place on their computer desktops. 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.

The staff and leaders told us they collaborated and worked in partnership, to ensure services worked seamlessly for people. They shared information and learning with partners to collaborate for improvement.

The local primary care and social care network partners were positive about the communications and the support provided by the provider. This included the care homes and people living in social care settings we spoke with.

The provider had established beneficial communication work streams with their primary care network practices to provide their local population shared effective care and treatment to support people’s needs.

Staff and leaders told us they were continuously learning, to innovate and improve. Evidence of learning within practice meetings was seen.

We found staff were encouraged to audit and learn from the findings to innovate and improve. The provider was able to example changes to their service delivery as a result.