Safety

Safety

Latest Snippet(s)

Positive

"• The practice had a variety of other risk assessments to monitor safety of the premises such as control of substances hazardous to health and infection control and legionella Legionella is a term for a particular bacterium which can contaminate water systems in buildings."

Positive

"Our key findings were as follows: • The practice had risk assessments and management activities that included all risks to patients staff and visitors for example fire safety evacuations."

Positive

"• The practice had risk assessments and management activities that included all risks to patients staff and visitors for example fire safety evacuations."

Positive

"There was an effective process for managing safety alerts including those from the Medicines and Healthcare products Regulatory Agency MHRA."

Positive

"• We saw that internal audits such as infection prevention and control health and safety and legionella were implemented effectively."

Positive

"Overview of safety systems and process The practice maintained appropriate standards of cleanliness and hygiene."

Positive

"Safe track record and learning • We reviewed the system for managing medicines and safety alerts including those from the Medicines and Healthcare products Regulatory Agency MHRA."

Positive

"For example fire safety evacuations."

Positive

"• There was a health and safety policy available."

Positive

"We saw that there regular checks on health and safety which had identified and dealt with hazards for example a trip hazard."

Neutral

"This covered such topics as safeguarding infection prevention and control fire safety health and safety and confidentiality."

2017-03-14 Snippet(s)

Positive

"• There was an effective system for reporting and recording significant events • Lessons were shared to make sure action was taken to improve safety in the practice."

Positive

"• The practice failed to ensure fire safety and was unable to demonstrate that regular fire evacuations were undertaken and findings recorded."

Positive

"However the practice was unable to demonstrate that regular fire evacuations were carried out and not all staff were up to date with fire safety training."

Positive

"Our key findings across all the areas we inspected were as follows: • There was an open and transparent approach to safety and an effective system for reporting and recording significant events."

Positive

"• Ensure internal audits such as infection prevention and control health and safety and legionella are implemented effectively and have action plans recorded."

Positive

"The practice had a variety of other risk assessments to monitor safety of the premises such as control of substances hazardous to health and infection control."

Positive

"• The practice failed to ensure internal audits such as infection prevention and control and health and safety were effectively implemented and supported with action plans containing timeframes."

Positive

"Overview of safety systems and processes The practice’s systems and processes did not always keep patients safe: • There were arrangements to safeguard children and vulnerable adults from abuse."

Positive

"This included support training for all staff on communicating with patients about notifiable safety incidents."

Positive

"• The practice failed to assess risks to the health and safety of service users receiving care or treatment and do all that was reasonably practicable to mitigate any such risks."

Positive

"Such systems or processes did not enable the registered person in particular; • to assess monitor and mitigate the risks relating to the health safety and welfare of service users and others who may be at risk which arise from the carrying on of the regulated activity."

Positive

"• There was a health and safety policy available with a poster in the reception office which identified local health and safety representatives."

Positive

"For example legionella monitoring fire safety and medicines management."

Positive

"For example fire safety evacuations."

Positive

"For example infection prevention and control fire safety awareness and a formal induction for the nursing team."

Positive

"We reviewed safety records and incident reports."

Positive

"• The procedures for monitoring and managing risks to the safety of patients staff and visitors were not always effective."

Positive

"For example infection prevention and control training and fire safety awareness."

Positive

"• we found that the provider did not have effective procedures to manage quality improvements or governance systems relating to the monitoring of risk to patients for medicines management infection prevention and control fire safety and staff induction for nurses and training for staff."

Neutral

"Staff told us action was taken where necessary but there were no action plans attached to the health and safety checks to confirm this."

Neutral

"This covered such topics as safeguarding infection prevention and control fire safety health and safety and confidentiality."

Control of Infection

Latest Snippet(s)

Positive

"• The practice had a variety of other risk assessments to monitor safety of the premises such as control of substances hazardous to health and infection control and legionella Legionella is a term for a particular bacterium which can contaminate water systems in buildings."

Diet

2017-03-14 Snippet(s)

Neutral

"For example: • Patients receiving end of life care carers those at risk of developing a longterm condition and those requiring advice on their diet smoking and alcohol cessation."

Visitors

Signage

2017-03-14 Snippet(s)

Neutral

"Staff told us that these dispensed medicines were given to patients and the doctor would sign these retrospectively."

Support

2017-03-14 Snippet(s)

Positive

"• Patients said they were treated with compassion dignity and respect and they were involved in their care and decisions about their treatment."

Positive

"The practice was similar for its satisfaction scores on consultations with GPs and nurses • Patients said they were treated with compassion dignity and respect and they were involved in decisions about their care and treatment."

Positive

"• Results from the national GP patient survey showed patients felt they were treated with compassion dignity and respect."

Positive

"Results from the national GP patient survey showed patients felt they were treated with compassion dignity and respect."

Positive

"• We saw staff treated patients with kindness and respect and maintained patient and information confidentiality."

Positive

"Patients we spoke with told us their dignity and privacy were always considered and respected by practice staff."

Positive

"Patients we spoke with told us their dignity privacy and preferences were always considered and respected by practice staff."

Positive

"• Curtains were provided in consulting rooms to maintain patients’ privacy and dignity during examinations investigations and treatments."

Governance

Latest Snippet(s)

Positive

"• The practice had reviewed the governance arrangements particularly for medicines management vaccines storage staff recruitment and training and these were now effectively implemented."

2017-03-14 Snippet(s)

Positive

"• Not all governance arrangements were effectively implemented."

Positive

"Governance arrangements Not all governance arrangements were effectively implemented."

Positive

"• we found that the provider did not have effective procedures to manage quality improvements or governance systems relating to the monitoring of risk to patients for medicines management infection prevention and control fire safety and staff induction for nurses and training for staff."

Neutral

"The practice had a number of policies and procedures to govern activity and held regular governance meetings."

Quality of Care

Latest Snippet(s)

Positive

"This inspection was carried out to review in detail the actions taken by the practice to improve the quality of care and to confirm that the practice was now meeting legal requirements."

Positive

"This report describes our judgement of the quality of care at this service."

2017-03-14 Snippet(s)

Positive

"Staff we spoke talked positively about how they were able to use the practice values to improve the quality of care and outcomes for patients."

Positive

"This report describes our judgement of the quality of care at this service."

Positive

"Improvements were made to the quality of care as a result of complaints and concerns."

Privacy

2017-03-14 Snippet(s)

Positive

"Patients we spoke with told us their dignity and privacy were always considered and respected by practice staff."

Positive

"Patients we spoke with told us their dignity privacy and preferences were always considered and respected by practice staff."

Positive

"• Curtains were provided in consulting rooms to maintain patients’ privacy and dignity during examinations investigations and treatments."

Abuse

2017-03-14 Snippet(s)

Positive

"• Staff knew how to recognise signs of abuse in vulnerable adults and children."

Equality

2017-03-14 Snippet(s)

Positive

"There was a proactive approach to identifying and understanding the needs of vulnerable groups of patients and to deliver care that promoted equality and improved outcomes."

Complaints

2017-03-14 Snippet(s)

Positive

"For example after a complaint about a cancelled appointment due to staff sickness the practice made plans to train other members of staff to undertake this aspect of care."

Quality Improvement

2017-03-14 Snippet(s)

Positive

"The practice undertook dispensary audits as part of a drive for quality improvement and we saw that SOPs had been changed as a result of one of these audits."

Positive

"There was evidence of quality improvement including clinical audit."