360 Care - Cromwell Primary Care Centre

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 8 quality statements in Well-Led and rated it as good; the leaders of the service were proud of the service they provided. The managers were visible and accessible, supporting the team daily. The directors and management team met twice each month and had good oversight of the governance of the service. There was clear partnership throughout the team and with external bodies.

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.

Staff told us they were proud of their service, and they enjoyed their work. There was some uncertainty as the service was tendering for an ongoing contract, however staff did not allow that to impact on their service provision.

The staff had regular team meetings where they discussed the current service activity and issues, the directors met twice monthly and monitored any activity and concerns that arose.

The registered manager and operational manager both had extensive experience as practice managers and had both undertaken accredited management training. They were available for staff, they said they had informal 1:1s and annual appraisals and we saw these were up to date, staff gave positive feedback.

The service had all the appropriate people policies including sickness, grievance, maternity and flexible working in place, they had access to expert advice where required. Staff had access to managers daily and were involved in decision making through staff meetings.

There was a freedom to speak up guardian, who had completed the training. No concerns had been raised at or before our assessment.

The service had a freedom to speak up policy in place which was in date and staff knew where to access it.

We reviewed the Equal Opportunities and Equality and Diversity policy during of our assessment, leaders were able to tell us how they would use the policy.

The service had an Equality and Diversity policy in place. They had access to a human resource specialist where required.

Service leads told us that there was a workstream for policies to be created and then they were presented to the directors meeting for sign off. The team consistently reviewed feedback and clinical updates to amend policies where needed. We had feedback from the ICB who commission the service and monitored the contract who had no concerns regarding the service. The consultant radiologist who gave the guided injections, shared their perspective and feedback from his role in secondary care.

The service had systems in place to monitor service delivery and the ongoing requirements for the service. Service leads told us that as part of the business resilience plan, they looked at structures and discussed them with directors.

The service provided a service within the local community as an alternative to waiting for a hospital appointment, people fedback that they were pleased and surprised at how quickly they were seen.

The leadership team told us that it was a ‘truly community led service run by a partnership of GPs in the local area, the service can be very responsive so provides a very smooth, timely and personal service.’

There were quarterly meetings with commissioners and all monitoring requirements were consistently met.

There were processes in place to provide local clinics in 2 locations across the community. The service was also provided at weekends which allowed people to use the service at a more convenient time.

Following peoples feedback the service told us how they reviewed their opening hours and opened two late nights and evenings and weekends due to patients not being able to access appointments within working hours.

The service has an audit programme in place, peer supervision and a staff and user feedback survey to collect data to identify areas for improvement. The sonographers had improved their documentation of a chaperone being present following an audit programme being put in place.