What is the Quality of Safety at Attleborough Surgeries

Positive

"The practice learned and shared lessons identified themes and took action to improve safety in the practice."

Positive

"• Not all safety systems were operating effectively as there was insufficient oversight; for example those relating to legionella and fire safety risk management and training."

Positive

"All staff received uptodate safeguarding and safety training appropriate to their role."

Positive

"At this inspection we found: • The practice had good systems in place for the management of safety alerts and high risk medicines."

Positive

"Track record on safety The practice had a mixed track record on safety."

Positive

"• The practice acted on and learned from external safety events as well as patient and medicine safety alerts."

Positive

"Practice leaders had oversight of national and local safety alerts incidents and complaints."

Positive

"Not all staff were trained in fire safety or basic life support."

Positive

"• Not all safety systems were operating effectively; for example those relating to legionella risk management."

Positive

"• There were risk assessments in relation to safety issues."

Positive

"Some staff had not received basic life support training or fire safety in a timely manner."

Positive

"Staff had received regular fire safety training and participated in regular fire drills to maintain their knowledge of how to respond in an emergency."

Positive

"All staff were fully trained on the system and commented positively about the system’s safety and ease of use."

Positive

"Learning and improvement from safety incidents There was a system in place for reporting recording and monitoring significant events."

Positive

"Monitoring Safety & Responding to Risk There was a fire safety risk assessment in place."

Positive

"Effective systems were in place for reporting safety incidents."

Positive

"Information about safety was recorded monitored appropriately reviewed and addressed."

Positive

"The practice manager showed us there were effective arrangements that were in line with national and statutory guidance for reporting safety incidents."

Positive

"The GPs held regular meetings to review safety within the practice to ensure all relevant actions had been taken."

Positive

"The practice manager took incidents into account when assessing the overall safety record."

Positive

"Reliable safety systems and processes including safeguarding Practice staff had written policies and systems in place to ensure that patients were safeguarded against the risk of abuse."

Positive

"There was a health and safety policy in place and staff knew where to access it."

Positive

"• Clinical audit had a positive impact on quality of care and outcomes for patients."

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

"Privacy and dignity The practice respected patients’ privacy and dignity."

Positive

"• We found that patients were treated with respect and their privacy was maintained."

Positive

"There was a privacy and dignity policy in place and all staff had access to this."

Neutral

"We saw that all clinical rooms had window blinds and privacy screening."

Positive

"• Staff took steps including working with other agencies to protect patients from abuse neglect harassment discrimination and breaches of their dignity and respect."

Positive

"Kindness respect and compassion Staff treated patients with kindness respect and compassion."

Positive

"• The practice was generally in line with local and national averages for outcomes relating to kindness respect and compassion on the national GP patient survey."

Positive

"Privacy and dignity The practice respected patients’ privacy and dignity."

Positive

"• Staff were clear on their roles and accountabilities including in respect of safeguarding and infection prevention and control."

Positive

"• Staff recognised the importance of people’s dignity and respect."

Positive

"• Staff took steps including working with other agencies to protect patients from abuse neglect harassment discrimination and breaches of their dignity and respect."

Positive

"The ‘practice plan’ included a mission statement regarding provision of high quality care respect and courtesy to patients and to keep up to date with developments in health care."

Positive

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

Positive

"We observed patients being treated with dignity and respect throughout the time we spent at the practice."

Positive

"• We found that patients were treated with respect and their privacy was maintained."

Positive

"There was a privacy and dignity policy in place and all staff had access to this."

Positive

"• The practice actively promoted equality and diversity."

Neutral

"Staff had received equality and diversity training."

Positive

"Tackling inequity and promoting equality We looked at the measures in place to accommodate equality amongst patients and meet and diverse needs."

Positive

"• Information about how to make a complaint or raise concerns was available."

Positive

"• The complaint policy and procedures were in line with recognised guidance."

Positive

"The practice leaflet informed patients about how to make a complaint if they needed to and there were separate leaflets about complaints available at the reception desk."

Positive

"Practice staff told us that the outcome and any lessons learnt following a complaint were disseminated to relevant staff and discussed during meetings."

Positive

"• Structures processes and systems to support good governance and management were clearly set out understood and effective."

Positive

"The governance and management of partnerships joint working arrangements and shared services promoted interactive and coordinated personcentred care."

Positive

"Governance arrangements There were clear responsibilities roles and systems of accountability to support governance and management."

Positive

"Each partner had dedicated lead roles such as; palliative care clinical governance research and prescribing."

Positive

"Governance Arrangements The practice had a clear governance structure designed to provide assurance to patients and the local clinical Commissioning Group CCG that the service was operating safely and effectively."

Positive

"We found that the governance arrangements included a local peer review system which focussed on areas for improvement in partnership with neighbouring GP practices."

Positive

"• Quality and sustainability were discussed in relevant meetings where all staff had sufficient access to information."

Positive

"Monitoring care and treatment The practice had a comprehensive programme of quality improvement activity and routinely reviewed the effectiveness and appropriateness of the care provided."

Positive

"For example the trainee nurse practitioner was arranging to attend some study days around infection control to enable them to carry out their lead role in this area effectively."

Neutral

"As part of the infection control process the practice staff held records of clinical employee’s hepatitis B vaccination status."