Safety

Safety

Latest Snippet(s)

Positive

"The practice team had established an audit profile following a scoping exercise that enabled them to identify which clinical audits could benefit patient outcomes and practice quality and safety performance."

Positive

"Monthly clinical governance meetings were used to review changes to national guidance including to review national patient safety alerts."

2015-11-12 Snippet(s)

Positive

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

Positive

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

Positive

"Information about safety was recorded monitored appropriately reviewed and addressed and we saw examples of improvements made as a result."

Positive

"Overview of safety systems and processes The practice had clearly defined and embedded systems processes and practices in place to keep people safe which included: • Suitable arrangements were in place to safeguard adults and children from abuse."

Positive

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

Positive

"There was a health and safety policy available."

Neutral

"• The practice had an induction programme for newly appointed nonclinical members of staff that covered such topics as safeguarding fire safety health and safety and confidentiality."

Diet

2015-11-12 Snippet(s)

Positive

"The practice had identified diabetes as an area for continued improvement and actively encouraged patients to learn how to control the condition for example referring patients to the Barking and Dagenham nutrition and dietetics service."

Neutral

"These included carers patients with long term conditions such as diabetes and those wanting advice on their diet and smoking and alcohol cessation."

Signage

Governance

Latest Snippet(s)

Positive

"• Dedicated clinical governance support was provided by the provider’s central team and regional manager."

Positive

"• The provider’s central governance team and regional manager provided asneeded support in the development of audit programmes."

Positive

"Monthly clinical governance meetings were used to review changes to national guidance including to review national patient safety alerts."

Neutral

"• Staff used an electronic system to submit incident reports to the practice manager and the regional manager and central governance team automatically received each report."

Neutral

"• The practice held monthly clinical governance meetings which were recorded and documented."

2015-11-12 Snippet(s)

Positive

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

Neutral

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

Neutral

"However some improvements were needed to the practice’s governance arrangements."

Neutral

"The practice was one of a number of surgeries owned by the provider which had overarching governance arrangements in place."

Quality Assurance

Latest Snippet(s)

Positive

"• Clinical audits were embedded in the practice’s quality assurance and clinical improvement systems."

Positive

"This helped maintain quality assurance and effective outcomes."

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."

2015-11-12 Snippet(s)

Positive

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

Privacy

2015-11-12 Snippet(s)

Positive

"Curtains were provided in consulting rooms so that patients’ privacy and dignity was maintained during examinations investigations and treatments."

Abuse

2015-11-12 Snippet(s)

Positive

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

Control of Infection

2015-11-12 Snippet(s)

Positive

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

Positive

"The practice manager was the infection control lead who liaised with the local infection control and prevention teams and the company’s centralised lead nurse to keep up to date with best practice."

Neutral

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

Neutral

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

Support

2015-11-12 Snippet(s)

Positive

"Results from the national GP patient survey showed that most patients were happy with how they were treated and that this was with compassion 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

"Patients who completed comment cards and who we spoke with said they were treated with compassion and respect and they were involved in decisions about their care and treatment."

Positive

"Patient feedback in our interviews and comment cards frequently commented positively about this aspect of the practice with patients saying they were always treated kindly and with dignity and respect."

Positive

"The practice staff consistently displayed consideration and kindness towards patients experiencing complex and multiple health needs."

Positive

"Curtains were provided in consulting rooms so that patients’ privacy and dignity was maintained during examinations investigations and treatments."

Religion

Complaints

2015-11-12 Snippet(s)

Positive

"The practice acknowledged each complaint and provided a written explanation an apology and information about how to take the complaint further if the patient was not satisfied with the response."

Positive

"Patients we spoke with were not fully aware of the process to follow if they wished to make a complaint but several singled out the practice manager as being approachable."

Quality Improvement

2015-11-12 Snippet(s)

Positive

"Clinical audit was not yet fully embedded into the practice’s quality improvement systems."