What is the Quality of Safety at Bellevue Medical Practice

Positive

"• The practice worked with a faithbased charity distributing meals to homeless people."

Neutral

"Together with other agencies and volunteers they served hot meals and provided food each week on Mondays Wednesdays and Fridays."

Positive

"• Patients told us they were treated with dignity and respect and that they were fully involved in decisions about their care and treatment."

Positive

"They had access to and made use of elearning training modules to complete training in safeguarding fire procedures basic life support information governance dignity and respect and confidentiality."

Positive

"We saw that patients were treated with dignity and respect."

Positive

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

Positive

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

Positive

"We based our judgement of the quality of care at this service on a combination of: • what we found when we inspected • information from our ongoing monitoring of data about services and • information from the provider patients the public and other organisations."

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."

Neutral

"• Translation services were available for patients including sign language interpreters."

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

"Governance arrangements The practice had a governance framework in place that supported the delivery of the strategy and good quality care."

Positive

"They had access to and made use of elearning training modules to complete training in safeguarding fire procedures basic life support information governance dignity and respect and confidentiality."

Positive

"• There were governance systems in place to monitor review and drive improvement within the practice."

Positive

"Overview of safety systems and process Improvements had been required for monitoring patients prescribed high risk medicines in accordance with best practice guidelines."

Positive

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

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 infection prevention and control IPC and Legionella a bacterium which can contaminate water systems in buildings."

Positive

"The practice had systems in place for notifiable safety incidents and ensured this information was shared with staff to ensure appropriate action was taken."

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: • Arrangements to safeguard adults and children from the risk of abuse and reflected relevant legislation and local requirements."

Positive

"Areas for improvement Action the service MUST take to improve • Ensure that the systems and processes to address risks associated with high risk medicines are implemented to ensure patients’ safety at all times."

Positive

"Regular fire drills and fire safety checks were carried out."

Positive

"When there were unintended or unexpected safety incidents patients were given an explanation and were told about any actions taken to improve processes to prevent the same thing happening again."

Positive

"We reviewed safety records incident reports Medicines and Healthcare products Regulatory Alerts MHRA patient safety alerts and minutes of meetings where these were discussed."

Positive

"The area where the provider must make improvements are: • Ensure that the systems and processes to address risks associated with high risk medicines are implemented to ensure patients’ safety at all times."

Positive

"• There was a health and safety policy available with a poster in the reception office."

Positive

"The practice also ensured that all cleaning staff completed health and safety training."

Neutral

"We saw minutes of these meetings and noted that complaints significant events and patient safety alerts were discussed."

Positive

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

Positive

"• Staff had been trained to recognise signs of abuse in vulnerable adults and children and the action they should take if they had concerns."

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: • Arrangements to safeguard adults and children from the risk of abuse and reflected relevant legislation and local requirements."

Positive

"• Staff told us they would not hesitate to share any concerns they had about patients and demonstrated their awareness of signs and indicators of potential abuse such as domestic violence."

Positive

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

Neutral

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

Neutral

"Regular infection control audits were carried out and we saw that action was taken to address any improvements identified as a result."