Mill View Surgery

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

This is the first inspection for this service since its new registration with CQC and we only looked at 1 evidence category within Well-led, therefore this key question is not fully assessed and remains unrated.

This service scored 11 (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. There is no score yet for this quality statement for Well-led.

We did not look at Capable, compassionate and inclusive leaders during this assessment. There is no score yet for this quality statement for Well-led.

We did not look at Freedom to speak up during this assessment. There is no score yet for this quality statement for Well-led.

We did not look at Workforce equality, diversity and inclusion during this assessment. There is no score yet for this quality statement for Well-led.

Staff and leaders told us about the range of meetings they attended. Staff reported the meetings ensured effective communication amongst the staff team as a whole. Staff had completed online training for information governance and confidentiality. Leaders told us they had discussed sustainability and workforce planning. They were aware of the impact of nurse and HCA vacancies and had recruited staff to post. The staff demonstrated their awareness of the organisational structure in place. Leaders demonstrated that there were shared care agreements in place with services in secondary care and collaborative arrangements with the local Primary Care Network.

There were gaps in a number of areas which required management oversight which we fed back to the provider during the assessment and inspection process for actioning. The providers approach meant these were promptly actioned and risks mitigated. However, these needed to be fully embedded in practice. The practice had an organisational structure in place with clear leadership roles and responsibilities including that of the collaborative arrangements with the local Primary Care Network associated staff team. The practice maintained a business continuity plan. The practice had discussed sustainability and workforce planning. The practice used the quality outcomes framework as an improvement and benchmark tool. Best practice updates were discussed at meetings and during education and training days. The provider was registered as a data controller with the Information Commissioner’s Office and provided online information governance training for all staff. The practice held multi-disciplinary meetings with other allied health professionals for those patients assessed as end of life and with frailties. There were appropriate governance arrangements with third parties, such as shared care agreements for patients in receipt of care and treatment in secondary care.

We did not look at Partnerships and communities during this assessment. There is no score yet for this quality statement for Well-led.

We did not look at Learning, improvement and innovation during this assessment. There is no score yet for this quality statement for Well-led.