What is the Quality of Safety at St Stephens House Surgery

Positive

"• The practice had not undertaken a health and safety risk assessment or a legionella risk assessment."

Positive

"Overview of safety systems and process The personnel files of staff employed since the last inspection demonstrated that appropriate recruitment checks had been undertaken."

Positive

"For example fire safety and other role specific training updates in relation to chronic disease management."

Positive

"• Health and safety risks had been assessed and mitigated."

Positive

"Health and safety risks had been assessed and mitigated."

Positive

"Training recruitment and health and safety records were also reviewed by us."

Positive

"For example fire safety infection control for administrative staff."

Positive

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

Positive

"Overview of safety systems and processes The practice had defined and embedded systems processes and practices in place to keep patients safe and safeguarded from abuse which included: • Arrangements were in place to safeguard children and vulnerable adults from abuse."

Positive

"The practice had systems in place for notifiable safety incidents and ensured this information was shared with staff to ensure appropriate action was taken • The practice proactively sought feedback from staff and patients which it acted on."

Positive

"• There was an open and transparent approach to safety and an effective system in place for reporting and recording significant events."

Positive

"For example the practice did not have a health and safety risk assessment or legionella risk assessment."

Positive

"• Staff received training that included: safeguarding fire safety awareness basic life support infection control Are services effective?"

Positive

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

Positive

"For example there was a health and safety policy available with a poster which identified local health and safety representatives but the practice did not have a health and safety risk assessment."

Positive

"The provider had not ensured all health and safety risks were assessed and mitigated."

Positive

"This included the risk of legionella infection and general health and safety arrangements."

Neutral

"• The provider must ensure a health and safety assessment is put in place and this includes the risk of legionella."

Neutral

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

Positive

"For example fire safety infection control for administrative staff."

Positive

"A nurse was the infection control clinical lead who liaised with the local infection prevention teams to keep up to date with best practice."

Positive

"• Staff received training that included: safeguarding fire safety awareness basic life support infection control Are services effective?"

Neutral

"There was an infection control protocol in place and staff had received up to date training."

Neutral

"Annual infection control audits were undertaken."

Positive

"Patients said they felt the practice offered an excellent service and staff were helpful caring and treated them with dignity and respect."

Positive

"Our key findings across all the areas we inspected were as follows: • Patients said they were treated with compassion dignity and respect and they were involved in their care and decisions about their treatment."

Positive

"• 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

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

Positive

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

Positive

"• There was an overarching governance framework which supported the delivery of the strategy and good quality care."

Positive

"Governance arrangements The practice had an overarching governance framework which supported the delivery of the strategy and good quality care."

Neutral

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

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."

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."

Positive

"• Advice on diet and exercise and smoking cessation advice was available from a local support group."

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."

Positive

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

Positive

"Overview of safety systems and processes The practice had defined and embedded systems processes and practices in place to keep patients safe and safeguarded from abuse which included: • Arrangements were in place to safeguard children and vulnerable adults from abuse."

Positive

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