Latest Snippet(s)
Positive
"• The provider did not establish or embed a systematic approach to maintaining and improving the quality of patient care and service delivery in areas such as acting on safety alerts monitoring training needs and ensuring actions outlined following significant events were carried out in their entirety."
Positive
"• The provider did not ensure oversight of medicine management routinely identified where quality and or safety were being compromised and respond appropriately without delay to ensure prescribing was in line with national guidelines."
Positive
"• There was a lack of an effective system to manage patient safety alerts as well as ensuring routine application of national guidelines."
2019-03-15 Snippet(s)
Positive
"The arrangements for identifying recording and managing risks were not operated effectively in particular in relation to patient safety alerts patient access to appointments and planned building work by the landlord."
2018-01-18 Snippet(s)
Positive
"• We found systems for record keeping to support the delivery of the service was not always effective for example the recording of action taken in response to safety alerts information relating to staff including training and registration and meetings."
Positive
"A new IT system had been introduced through OHP with the aim of facilitating shared learning of incidents safety alerts and best practice guidance among member practices."
Positive
"However this was a list of what they were doing in relation to fire safety rather than an adequate assessment of the fire risks within the premises."
Positive
"• At the time of our inspection the tenancy agreement was due to be signed and the practice was working with the landlord to ensure the safety of the premises."
Positive
"However we found risk assessments in relation to fire safety were not sufficiently detailed and were in need of review."
Positive
"• Improve record keeping in relation actions taken in response to staff training staff information practice meetings and safety alerts."
Positive
"This included risks relating to fire safety staffing and staff training and development."
Positive
"Risks to patients There were systems to assess monitor and manage risks to patient safety however formal arrangements to ensure continuity of clinical cover over the long term were not consistently in place to set out working expectations."
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
"• The practice learned from external safety events as well as patient and medicine safety alerts."
Positive
"• Review fire safety in the premises to ensure an adequate assessment of risk has been undertaken and action taken in response."
Positive
"• There was a system for receiving and acting on safety alerts."
Positive
"We saw an example of a local safety alert that had been recorded and discussed as a significant event."
Positive
"For example records showed only one member of staff had completed fire safety training none of the reception staff had completed information governance training and only one of the reception staff had undertaken infection control training."
Neutral
"Track record on safety • There were risk assessments in relation to safety issues."
Neutral
"Practice staff assured us that they did act on safety alerts however documentary evidence of the action taken was not clearly available."
Latest Snippet(s)
Positive
"This was with consent from the provider and in line with all data protection and information governance requirements."
2018-01-18 Snippet(s)
Positive
"• The practice had recently moved into their current premises and were due to sign off the long term tenancy agreement."
Latest Snippet(s)
Positive
"This was with consent from the provider and in line with all data protection and information governance requirements."
2020-04-20 Snippet(s)
Positive
"• At our last inspection we found the practice governance arrangements were not effective in supporting high quality sustainable care."
Neutral
"At this inspection we found the practice had implemented a more structured approach for the governance of the service and for management of information."
Neutral
"However we continued to identify concerns relating to the governance of the practice that were not embedded."
2019-03-15 Snippet(s)
Positive
"We rated the practice as requires improvement for providing safe responsive and wellled services because: • The overall governance arrangements to support high quality sustainable care was not effective."
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."
2018-01-18 Snippet(s)
Positive
"• The governance and management of partnerships joint working arrangements and shared services promoted interactive and coordinated personcentred care."
Positive
"• Structures processes and systems to support the governance and management of the practice were clearly set out."
Positive
"Governance arrangements The practice had an overarching governance framework which supported the delivery of the service."
Positive
"For example records showed only one member of staff had completed fire safety training none of the reception staff had completed information governance training and only one of the reception staff had undertaken infection control training."
Latest Snippet(s)
Positive
"• The practice did not have an effective system for the oversight and monitoring of quality assurance including clinical audit."
Latest Snippet(s)
Positive
"This report describes our judgement of the quality of care at this service."
2020-04-20 Snippet(s)
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."
2019-03-15 Snippet(s)
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."
2018-01-18 Snippet(s)
Positive
"– Good 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."
2020-04-20 Snippet(s)
Positive
"• We received positive feedback about the kindness and respect shown by the principal GP in particular and most staff however this was not consistently the case."
2019-03-15 Snippet(s)
Positive
"• Staff dealt with patients with kindness and respect and involved them in decisions about their care."
2018-01-18 Snippet(s)
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
"Privacy and dignity The practice respected and promoted patients’ privacy and dignity."
Positive
"• Staff recognised the importance of patients’ dignity and respect."
Positive
"• Staff we spoke with were clear on their roles and accountabilities including in respect of safeguarding."
2018-01-18 Snippet(s)
Positive
"This provided information about expected timescales and how to escalate the complaint should the patient be unhappy with the response received."
Positive
"• The complaint policy and procedures were in line with recognised guidance."
Positive
"• Information about how to make a complaint or raise concerns was available and it was easy to do."
2019-03-15 Snippet(s)
Positive
"OHP also provides a mechanism by which practices can develop ideas to support the sustainability of primary medical services and provide a collective voice to influence change in the delivery of services locally and nationally."
2018-01-18 Snippet(s)
Positive
"Privacy and dignity The practice respected and promoted patients’ privacy and dignity."
2018-01-18 Snippet(s)
Positive
"For example records showed only one member of staff had completed fire safety training none of the reception staff had completed information governance training and only one of the reception staff had undertaken infection control training."
Neutral
"This included safeguarding arrangements management of infection control medicines and for unforeseen events."
2018-01-18 Snippet(s)
Positive
"Regular meetings were held with the health visitor to discuss patients at risk and we saw minutes from those meetings."
2018-01-18 Snippet(s)
Positive
"Monitoring care and treatment The practice undertook some quality improvement activity and routinely reviewed the effectiveness and appropriateness of the care provided."