• Doctor
  • GP practice

Abbeywell Surgery Also known as Abbey Mead Surgery, Romsey

Overall: Good read more about inspection ratings

The Abbey, Romsey, Hampshire, SO51 8EN (01794) 512218

Provided and run by:
Abbeywell Surgery

Report from 12 February 2024 assessment

On this page

Well-led

Good

Updated 11 July 2024

We found effective governance and risk management systems and processes. We saw information was used effectively to monitor and improve the quality of care. Staff reported that leaders were visible and approachable. There were named leads in place for key areas and staff were clear about their roles and responsibilities. Leaders had a good understanding of local population issues, challenges and priorities for their 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.

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

Staff told us that practice policies were accessible and they were clear about their roles and responsibilities . All newly appointed staff had completed an induction and had opportunities through training and development to improve their job skills and felt supported by the management and clinical team. We were told that there was regular management meetings to review sustainability and ensure there was enough staff in place. Information was discussed and cascaded to staff in practice meetings to share learning.

Policies, processes, and systems to support governance and management of the practice were managed by the GP partners and the management team. There were regular meetings during which issues significant to the delivery of clinical care was discussed and reviewed. Complaints, significant events and safeguarding processes were clearly understood, and all staff knew who to go to in the event there was a concern being raised. We found the appropriate meetings were taking place to ensure governance processes worked and quality was being delivered. A business continuity plan was in place which gave guidance to staff for the preparation of major incidents. We found that policies contained clear information about the designated lead in areas such as infection, prevention and control and safeguarding. All staff were aware of the designated leads in these areas. The practice had policies in place for sharing information with third parties, for example primary care network (PCN) staff.

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.