What is the Quality of Safety at St George's Medical Centre PMS Practice

Positive

"They told us they were satisfied with the care provided by the practice and said their dignity and privacy was respected."

Positive

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

Positive

"• The practice had 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 had systems for being aware of notifiable safety incidents and sharing the information with staff and ensuring appropriate action was taken."

Positive

"• We saw evidence that staff shared lessons learnt and action was taken to improve safety in the practice."

Positive

"• We reviewed safety records incident reports patient safety alerts and minutes of meetings where significant events were discussed at monthly practice meetings."

Positive

"The arrangements for managing medicines including emergency medicines and vaccines in the practice minimised risks to patient safety including obtaining prescribing recording handling storing security and disposal."

Positive

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

Positive

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

Positive

"The manager took action to ensure patient safety on the day of the inspection."

Positive

"• The practice had a system in place to ensure all staff receive patient safety alerts."

Positive

"Overview of safety systems and processes The practice had clearly defined and embedded systems processes and practices in place to minimise risks to patient safety."

Positive

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

Positive

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

Neutral

"On the day of the inspection the practice manger informed NHS property services of the risk who made temporary adjustments to ensure patient safety in the waiting room."

Neutral

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

Positive

"• Staff interviewed knew how to recognise signs of abuse in children young people and adults whose circumstances may make them vulnerable."

Positive

"• Staff were able to recognise the signs of abuse in older patients and knew how to escalate any concerns."

Positive

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

Neutral

"For example for infection control and the environment."

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

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

Positive

"• Results from the national GP patient survey showed patients were treated with compassion dignity and respect and were involved in their care and decisions about their treatment."

Positive

"• Survey information we reviewed showed that patients said they were treated with compassion dignity and respect and they were involved in decisions about their care and treatment."

Positive

"They told us they were satisfied with the care provided by the practice and said their dignity and privacy was respected."

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

"An example of the practice learning from a complaint was a healthcare professional changed a patient s medication on the computer and the practice failed to issue it as part of the patients repeat prescription the patient was apologised to."

Positive

"However the policy and letters did not inform patients about how to progress the complaint to the Parliamentary and Health Service Ombudsman if they were dissatisfied with the practices response."

Positive

"However although the practice manager detailed the investigation of the complaint in the letter to the patient they did not keep notes made during the investigation."

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 policies and procedures to govern activity and held regular governance meetings."

Positive

"There was evidence of quality improvement including clinical audit: • There had been three clinical audits commenced in the last twelve months these were completed audits where the improvements made were implemented and monitored."

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."