What is the Quality of Safety at Whitehill Surgery

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 respect patients’ privacy and dignity."

Positive

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

Positive

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

Positive

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

Positive

"• The practice regularly reviewed the safety of the premises to deliver health care."

Positive

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

Positive

"• There was a strong emphasis on the safety and wellbeing of all staff."

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

"• There were comprehensive risk assessments for both the main practice and branch practice in relation to safety issues."

Positive

"This helped it to understand risks and gave a clear accurate and current picture of safety that led to safety improvements."

Neutral

"At this inspection we found: • The practice had clear systems to manage risk so that safety incidents were less likely to happen."

Positive

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

Positive

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

Positive

"We reviewed safety records incident reports national patient safety alerts and minutes of meetings where these were discussed."

Positive

"• The practice had systems in place for knowing about notifiable safety incidents."

Positive

"The practice had systems in place for dealing with complaints concerns and notifying safety incidents."

Positive

"There were processes in place for reporting and investigating safety incidents."

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

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

Positive

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

Positive

"• Staff involved and treated patients with compassion kindness dignity and respect."

Positive

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

Positive

"Patients comments highlighted during appointments they felt the staff were helpful caring and treated them with dignity and respect."

Positive

"Feedback was mixed most told us the practice was compassionate to patients needs and treated them with dignity and respect."

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

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

Positive

"The evidence from all these sources showed patients were highly satisfied with how they were treated and this was with compassion dignity and respect."

Positive

"Patientcarer support to cope emotionally with care and treatment The patient survey information we reviewed showed patients were positive about the emotional support provided by the practice and rated it well in this area."

Positive

"Patients reported that they felt that all the staff treated them with respect listened to and involved in their care and treatment."

Positive

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

Positive

"• The practice actively promoted equality and diversity."

Neutral

"Staff had received equality and diversity training."

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

"For example following a patient complaint changes were made to the shared care protocol agreement with Child and Adolescent Mental Health Service CAMHS and a review of prescribing medication which affects chemicals in the brain contributing to hyperactivity and impulse control."

Positive

"The practice reviewed each complaint and could identify any patterns and shared the learning with the full practice team."

Positive

"The areas where the provider must make improvements are: • Establish effective systems and processes to ensure good governance in accordance with the fundamental standards of care."

Positive

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

Positive

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

Positive

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

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."

Positive

"• The practice had an effective governance system in place was well organised and actively sought to learn from performance data incidents and feedback."

Neutral

"• Staff received training that included: safeguarding fire procedures basic life support and information governance awareness."

Positive

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

Positive

"Comprehensive clinical audits were carried out to demonstrate quality improvement and all relevant staff were involved to improve care and treatment and patient outcomes."

Positive

"• Clinical audits demonstrated quality improvement for example in the management of patients with thyroid disease."

Positive

"The nurse prescriber was the infection control lead and liaised with the local infection prevention teams to keep up to date with best practice."

Positive

"When reviewing the staff files we also saw that staff were up to date with attending mandatory courses such as annual basic life support infection control and safeguarding of children and vulnerable adults."

Neutral

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

Neutral

"Annual infection control audits were undertaken and we saw evidence that action was taken to address any improvements identified as a result."