What is the Quality of Safety at OHP-Reservoir Road Surgery

Positive

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

Positive

"We found arrangements in respect of ensuring staff had appropriate training in areas such as information governance fire safety infection control and safeguarding were not adequate."

Positive

"• There was a strong emphasis on the safety and wellbeing of all staff."

Positive

"Track record on safety The practice had made improvements to safety systems and processes."

Positive

"• The practice acted on and learned from external safety events as well as patient and medicine safety alerts."

Positive

"• Practice leaders had established policies procedures and activities to ensure safety and assured themselves that they were operating as intended."

Positive

"Practice leaders had oversight of safety alerts incidents and complaints."

Positive

"• There were effective systems in place to manage risk so that safety incidents were less likely to happen."

Positive

"• There were comprehensive risk assessments in relation to safety issues."

Positive

"• The practice monitored and reviewed safety using information from a range of sources."

Positive

"This included the sharing of evidencebased guidance safety alerts incidents and complaints."

Neutral

"Staff received uptodate safeguarding and safety training appropriate to their role this included additional training in relation to domestic violence."

Positive

"• Staff took steps including working with other agencies to protect patients from abuse neglect discrimination and breaches of their dignity and respect."

Positive

"We found arrangements in respect of ensuring staff had appropriate training in areas such as information governance fire safety infection control and safeguarding were not adequate."

Positive

"However we noted that there was no specific signage for the location of oxygen to warn of risks."

Positive

"The areas where the provider should make improvements are: • Review emergency equipment to ensure they are appropriately stored and sealed and fit for use and that there is appropriate signage for the location of oxygen."

Positive

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

Positive

"• Staff recognised the importance of people’s dignity and respect and had systems to help ensure patient confidentiality was maintained."

Positive

"• Staff involved and treated patients with compassion kindness dignity and respect."

Positive

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

Positive

"We found arrangements in respect of ensuring staff had appropriate training in areas such as information governance fire safety infection control and safeguarding were not adequate."

Positive

"• Staff were clear on their roles and accountabilities including in respect of safeguarding and infection prevention and control."

Positive

"• Staff took steps including working with other agencies to protect patients from abuse neglect discrimination and breaches of their dignity and respect."

Positive

"• The practice promoted equality and diversity."

Positive

"• Information about how to make a complaint or raise concerns was available."

Positive

"• The complaint policy and procedures were in line with recognised guidance."

Positive

"Governance arrangements There were clear responsibilities roles and systems of accountability to support good governance and management."

Positive

"• The provider had introduced an IT governance system which enabled staff to easily access evidence based guidance such as those from the National Institute for Health and Care Excellence."

Positive

"• The practice had joined Our Health Partnership to support the longerterm sustainability of the practice and to provide governance support."

Positive

"• There were structures processes and systems to support good governance in place."

Positive

"We found arrangements in respect of ensuring staff had appropriate training in areas such as information governance fire safety infection control and safeguarding were not adequate."

Positive

"A shared IT clinical governance system had been introduced by the provider organisation to support member practice’s."

Positive

"Practice staff advised that these were discussed at practice meetings and also shared with other practices within the wider provider organisation through the new shared IT clinical governance systems."

Neutral

"Practice staff undertook information governance training."

Positive

"• The practice had joined Our Health Partnership to support the longerterm sustainability of the practice and to provide governance support."

Positive

"• Quality and sustainability were discussed in relevant staff meetings."

Positive

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

Positive

"• The practice had carried out a number of clinical audits but these did not always clearly demonstrate impact on the quality of care and outcomes for patients."

Positive

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