What is the Quality of Safety at OHP-Leach Heath Medical Centre

Positive

"With OHP a new IT system had been introduced which once fully embedded should support the administration of the practice and support closer working within the wider OHP organisation by facilitating shared learning of incidents safety alerts and best practice guidance."

Positive

"In particular: • This included the management of risks relating to the premises fire safety legionella control of substances hazardous to health and arrangements for business continuity."

Positive

"Track record on safety Although findings from our previous inspection demonstrated the practice had a good safety record we found some shortfalls at this inspection."

Positive

"• Establish effective systems and processes to ensure good governance in accordance with the fundamental standards of care by means of effective systems for the management of risks in relation to the premises including fire safety legionella control of substances hazardous to health and arrangements for business continuity."

Positive

"• The practice learned and shared lessons and took action to improve safety in the practice."

Positive

"Practice leaders had established policies procedures and activities to ensure safety and for the running of the service but did not have effective systems to assure themselves that they were operating as intended."

Positive

"• Although the premises appeared well maintained the practice did not have effective systems in place for managing and monitoring the safety of the premises."

Positive

"Control of substances hazardous to health safety sheets were in place did not reflect all products used."

Positive

"As part of the new IT system from OHP safety alerts were shared with the member practices who were required to confirm that they had been acted on."

Positive

"As a member of OHP the practice was benefiting from a new IT system to support the administration of the practice and shared learning of incidents complaints and safety alerts."

Positive

"• The practice did not have effective systems and processes for managing and monitoring risks in relation to health and safety and the premises."

Positive

"There were large gaps in records to demonstrate regular testing of fire alarms and water safety checks in relation to legionella had been undertaken."

Positive

"The practice was aware of these concerns and an external health and safety assessment had recently been completed that had identified actions the provider needed to complete."

Positive

"• Risk assessments in relation to the safety of the premises had not been kept up to date although the practice was now working to remedy this."

Positive

"• There was a system for receiving and acting on safety alerts."

Positive

"The practice had made use of clinical audit and to improve services and acted on incidents complaints and safety alerts."

Positive

"• However there were weaknesses in the quality of record keeping in relation to staff training appraisals and for managing the safety of the premises."

Neutral

"For example in relation to aspects of health and safety management of complaints and for supporting and managing staff."

Neutral

"• The practice was implementing new IT systems as part of the Our Health Partnership which once embedded should facilitate the monitoring of staff training incidents and complaints and for ensuring action against safety alerts."

Positive

"Kindness respect and compassion Staff treated patients with kindness respect and compassion."

Positive

"• Feedback from patients from the national GP patient survey and the CQC patient comment cards showed that they felt they were treated with compassion kindness dignity and respect and felt involved in their care and treatment."

Positive

"Patients described staff as caring friendly and helpful and told us that they were treated with dignity and respect."

Positive

"Privacy and dignity The practice respected and promoted patients’ privacy and dignity."

Positive

"Requires Improvement As part of our inspection process we also look at the quality of care for specific population groups."

Positive

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

Positive

"Privacy and dignity The practice respected and promoted patients’ privacy and dignity."

Positive

"• The practice had policies for safeguarding children and vulnerable adults from abuse and a named GP lead for supporting staff on safeguarding matters."

Positive

"The practice had a range of infection control policies in place to support staff."

Neutral

"The infection control lead for the practice had recently left and one of the practice nurses had taken on the role."

Neutral

"Monthly meetings were held with the health visitor to discuss any concerns."

Positive

"• We identified no concerns in relation to the promotion of equality and diversity in the practice."

Positive

"• Establish effective systems and processes to ensure good governance in accordance with the fundamental standards of care by means of effective systems for the management of risks in relation to the premises including fire safety legionella control of substances hazardous to health and arrangements for business continuity."

Positive

"• We identified weaknesses in the governance arrangements in the management of some risks and in supporting staff."

Positive

"Governance arrangements We found the governance arrangements at the practice were not consistently effective."

Positive

"Monitoring care and treatment The practice had a programme of quality improvement to review the effectiveness and appropriateness of the care provided."

Positive

"The practice shared with us examples of clinical quality improvement activity they had recently undertaken including clinical audits."