What is the Quality of Safety at Dr Salako and Partners

Positive

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

Positive

"The practice had systems in place for knowing about notifiable safety incidents and ensured this information was shared with staff to ensure appropriate action was taken Seeking and acting on feedback from patients the public and staff The practice encouraged and valued feedback from patients the public and staff."

Positive

"There were arrangements in place to implement good practice learning from any untoward incidents and an open culture to encourage a focus on patient safety and risk management practices."

Positive

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

Positive

"• When there were unintended or unexpected safety incidents patients received reasonable support truthful information a verbal and written apology and were told about any actions to improve processes to prevent the same thing happening again."

Positive

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

Positive

"• There was an effective system in place to monitor patient safety alerts."

Positive

"• Staff were aware of the motto of the practice which was “your wellbeing is our concern” and had an understanding of the priorities for the coming year in relation to developing services patient safety and cost effectiveness."

Positive

"• When there were unintended or unexpected safety incidents patients received reasonable support truthful information a verbal and written apology."

Positive

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

Positive

"• Learning from when things went wrong was shared with staff through meetings and discussions to improve safety in the practice."

Positive

"Overview of safety systems and processes The practice had clearly defined and embedded systems processes and practices in place to keep patients safe and safeguarded from abuse which included: • There were effective safeguarding policies and procedures in place which were understood and implemented by staff."

Positive

"We saw that equipment was routinely checked for electrical safety and clinical equipment was checked to ensure it was working properly."

Positive

"An example we found was of a recent health and safety audit which resulted in a review of training to heighten awareness of hazardous substances and a reduction in nonessential equipment to improve cost Are services effective?"

Positive

"Health and safety risk assessments had been completed and staff had received chaperone training and followed procedures."

Positive

"There was a health and safety policy available for staff reference."

Neutral

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

Positive

"Our key findings across all the areas we inspected were as follows: • Patients were protected from abuse and avoidable harm as staff were confident to report serious incidents whistle blow or challenge if they suspected poor practice."

Positive

"• Patients were protected from abuse and avoidable harm as staff we spoke with were confident to report serious incidents whistle blow or challenge if they suspected poor practice."

Positive

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

Positive

"Overview of safety systems and processes The practice had clearly defined and embedded systems processes and practices in place to keep patients safe and safeguarded from abuse which included: • There were effective safeguarding policies and procedures in place which were understood and implemented by staff."

Positive

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

Positive

"Other examples concerned equipment being moved to a designated room to ensure cleaning was actioned routinely and the system for the disposal of urine samples was clarified to ensure safe infection control practices were adopted at all times to protect staff from infection."

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 practices reviewed."

Positive

"• Spoke with a range of staff receptionists practice nurses health visitor community care coordinator practice managers and doctors and spoke with patients who used the service."

Positive

"We found one example of a child safeguarding concern that had been raised by a health visitor and dealt with appropriately by the practice."

Neutral

"The health visitor confirmed that formal multidisciplinary team meetings took place at the surgery on a three monthly basis."

Positive

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

Positive

"Patient and carer support to cope emotionally with care and treatment Feedback from a family indicated strong support for the complex needs of their children including thorough examinations good explanations and emotional support for the family."

Positive

"We reviewed written CQC cards which ranged from good to excellent for support and respect from staff."

Positive

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

Positive

"We observed the clinical areas and saw that members of staff were courteous and very helpful to patients and treated them with dignity and respect."

Positive

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

Positive

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

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

"Patients told us they were kept informed and that they were treated with the ‘utmost respect and dignity’ by the staff providing the care."

Positive

"• Staff in all roles treated patients with dignity and patients felt wellcared for as a result."

Positive

"The complaint was also discussed at staff meeting and advised receptionists to make sure they apologise on behalf of the practice when cancelling patient appointments."

Positive

"One example referred to a complaint made by a patient about the closing of contraceptive clinics on a number of occasions."

Positive

"Governance arrangements There was a governance framework which supported the delivery of the strategy and good quality care."

Positive

"There was a governance framework which supported the delivery of the strategy and quality care."

Positive

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