Safety

Safety

Latest Snippet(s)

Positive

"• Previously we saw that risk assessments associated with the premises’ were not practice specific or dated and fire safety check logs did not distinguish between fire alarm checks and fire drills."

Positive

"For example risk relating to infection control health and safety disaster recovery recruitment and staffing were not effectively managed."

Positive

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

Positive

"For example risks relating to infection control health and safety disaster recovery recruitment and staffing."

Positive

"For example a full time practice manager was appointed a designated health and safety lead had been established; policies were practice specific and a comprehensive business continuity plan for managing major incidents was in place."

Positive

"Overview of safety systems and process When we carried out our first inspection staff explained that nonclinical staff handled specimens and in the absence of the practice nurse may be required to clean spills of bodily fluids."

Positive

"Leadership and culture Meeting minutes’ we viewed during the comprehensive inspection were not detailed and there was no set agenda to ensure that specific issues such as complaints significant events safety alerts were being discussed."

Positive

"For example there was a health and safety policy available which identified the local health and safety representative."

Positive

"Staff we spoke with were able to identify designated leads such as health and safety lead; we saw that risks were practice specific and the monitoring and recording of safety checks were carried out effectively."

Positive

"Including staffing recruitment checks those relating to health and safety of the premises infection control and business continuity."

Positive

"During our follow up inspection we saw that the refurbishment had been completed and staff we spoke with during the follow up inspection explained that a designated health and safety lead were in place; nonclinical staff we spoke with were able to confirm this."

Neutral

"However we found arrangements for managing health and safety at the practice was unclear."

2016-10-05 Snippet(s)

Positive

"For example risks relating to infection control health and safety disaster recovery recruitment and staffing."

Positive

"The provider is rated as requires improvement for safety and for wellled."

Positive

"There was a health and safety policy available which identified the local health and safety representative."

Positive

"Including staffing recruitment checks those relating to health and safety of the premises infection control and business continuity."

Positive

"The practice routinely received safety alerts and we saw several examples that had been acted on."

Positive

"Overview of safety systems and processes The practice had systems processes and practices in place to keep patients safe and safeguarded from abuse."

Neutral

"However we found arrangements for managing health and safety at the practice were unclear."

Neutral

"The minutes of meetings were not always detailed and there was no set agenda to ensure that specific issues were always discussed for example complaints significant events safety alerts."

Control of Infection

Latest Snippet(s)

Positive

"Although the practice had risk assessments such as control of substances hazardous to health and infection control and legionella Legionella is a term for a particular bacterium which can contaminate water systems in buildings."

Positive

"For example risk relating to infection control health and safety disaster recovery recruitment and staffing were not effectively managed."

Positive

"For example risks relating to infection control health and safety disaster recovery recruitment and staffing."

Positive

"Including staffing recruitment checks those relating to health and safety of the premises infection control and business continuity."

2016-10-05 Snippet(s)

Positive

"The practice had risk assessments in place including control of substances hazardous to health and infection control and legionella Legionella is a term for a particular bacterium which can contaminate water systems in buildings."

Positive

"We were unable to verify what infection control training reception staff had received as the practice manager was unable to open the online training system records."

Positive

"For example risks relating to infection control health and safety disaster recovery recruitment and staffing."

Positive

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

Positive

"• Risks associated with infection control for example specimen and bodily fluid handling staff immunisation and clear arrangements for the disposal of clinical waste."

Positive

"Including staffing recruitment checks those relating to health and safety of the premises infection control and business continuity."

Neutral

"For example the infection control policy contained information relating to another practice and was undated."

Signage

Support

2016-10-05 Snippet(s)

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

Positive

"They found the practice welcoming and described staff as helpful caring and treated them with 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."

Governance

Latest Snippet(s)

Neutral

"• When we carried out our comprehensive inspection governance arrangements were not effectively managed."

2016-10-05 Snippet(s)

Positive

"The practice was unable to demonstrate robust systems for: • Ensuring appropriate staffing to support governance arrangements and uptake of child immunisations and cervical screening."

Positive

"These concerns were supported by lower than average uptake of child immunisation and cervical screening and in relation to the robustness of governance arrangements."

Positive

"Governance arrangements The practice had an overarching governance framework to support the delivery of the service."

Positive

"• There was limited capacity for the practice manager and practice nurse which reflected on some of the governance arrangements of the practice and performance data."

Quality of Care

Latest Snippet(s)

Positive

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

2016-10-05 Snippet(s)

Positive

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

Privacy

2016-10-05 Snippet(s)

Positive

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

Abuse

2016-10-05 Snippet(s)

Positive

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

Diet

Visitors

Complaints

2016-10-05 Snippet(s)

Positive

"The complaints leaflet detailed how the patient could get support to make a complaint and what to do if they were unhappy with the response received from the practice."

Positive

"We reviewed the other complaint and found it had been appropriately managed with the patient being given an opportunity to discuss their concerns with practice staff."

Quality Improvement

2016-10-05 Snippet(s)

Positive

"There was some evidence of quality improvement including clinical audit."