Safety

Privacy

Latest Snippet(s)

Positive

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

Neutral

"• Notices displayed informed children and young adults about their right to confidentiality and privacy in their appointments."

2017-11-09 Snippet(s)

Positive

"• Within the confines of the building the practice had put arrangements in place to improve privacy in the reception area."

Positive

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

Safety

Latest Snippet(s)

Positive

"Track record on safety The practice had made significant improvements since our previous inspection to support safety within the practice."

Positive

"• Staff were clear on their roles and accountabilities including in respect of safeguarding and infection prevention and control • Practice leaders had established policies procedures and activities to ensure safety and assured themselves that they were operating as intended."

Positive

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

Positive

"• The practice acted on and learned from external safety events as well as patient and medicine safety alerts and we saw examples of this."

Positive

"• The safety and wellbeing of all staff was promoted."

Positive

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

Positive

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

Neutral

"• The practice had clear systems to manage risk so that safety incidents were less likely to happen."

Neutral

"Staff received uptodate safeguarding and safety training appropriate to their role this included additional training to support those at risk of domestic violence."

Neutral

"• The practice monitored and reviewed safety using information from a range of sources such as incidents complaints and safety alerts."

2017-11-09 Snippet(s)

Positive

"• The practice had a variety of other risk assessments in place to monitor the safety of the premises such as the control of substances hazardous to health COSHH and infection control and legionella Legionella is a term for a particular bacterium which can contaminate water systems in buildings."

Positive

"Overview of safety systems and process The practice had clearly defined and embedded systems processes and practices in place to keep patients safe and safeguarded from abuse: • Arrangements were in place to safeguard children and vulnerable adults from abuse."

Positive

"The practice had systems for being aware of notifiable safety incidents ensuring appropriate action was taken and sharing the information and learning with staff."

Positive

"The provider should: • Ensure local safety alerts are treated with the same rigor as medicine safety alerts."

Positive

"The practice had effective systems in place for the management of safety alerts received such as those from the Medicines and Healthcare Products Regulatory Agency MHRA."

Positive

"Control of Substances Hazardous to Health COSHH safety information for products used on the premises was not easily accessible in an emergency."

Positive

"• Risks to patient safety were being well managed."

Positive

"At this inspection we found COSHH safety information readily available if needed."

Positive

"• At this inspection we found risks to patient safety were assessed and well managed."

Positive

"Staff received fire safety training."

Positive

"• Staff received training that included: safeguarding fire safety awareness basic life support and information governance."

Abuse

Latest Snippet(s)

Positive

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

2017-11-09 Snippet(s)

Positive

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

Signage

Latest Snippet(s)

Neutral

"• The practice was aware of support available for patients with poor mental health which they could refer or sign post patients to."

Support

Latest Snippet(s)

Positive

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

Positive

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

Positive

"• The practices National GP patient survey results were in line with local and national averages for questions relating to kindness respect and compassion."

Positive

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

Positive

"• Staff were clear on their roles and accountabilities including in respect of safeguarding and infection prevention and control • Practice leaders had established policies procedures and activities to ensure safety and assured themselves that they were operating as intended."

Positive

"• Staff recognised the importance of people’s dignity and respect."

Positive

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

2017-11-09 Snippet(s)

Positive

"Kindness dignity respect and compassion During the inspection we observed members of staff were courteous and helpful to patients and treated them with dignity and respect."

Positive

"Most patients felt they were treated with compassion dignity and respect."

Positive

"• Patient feedback was mixed although most patients felt they were treated with compassion dignity and respect."

Positive

"We undertook enforcement action in respect of good governance."

Positive

"• We saw staff treated patients with kindness and respect."

Positive

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

Equality

Latest Snippet(s)

Positive

"• The practice actively promoted equality and diversity and staff felt they were treated equally."

Neutral

"Staff had received equality and diversity training."

Complaints

Latest Snippet(s)

Positive

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

Positive

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

Governance

Latest Snippet(s)

Positive

"• Structures processes and systems to support good governance and management were clearly set out understood and effective."

Positive

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

Positive

"The governance and management of partnerships joint working arrangements and shared services promoted coordinated personcentred care."

2017-11-09 Snippet(s)

Positive

"• The practice also had the wider support of Our Health Partnership to support the administration and governance of the practice."

Positive

"Improvements seen included clearer leadership and stronger governance arrangements."

Positive

"As a member practice of OHP the practice had adopted systems and processes which supported the administration and governance of the practice and were consistent with the wider partnership."

Positive

"Practice staff told us of a significant information governance incident in which practice information had been lost and that they were trying to rectify."

Positive

"At this inspection we found significant improvements in the governance of the practice."

Sustainability

Latest Snippet(s)

Positive

"They had joined a large partnership to support future sustainability of the service and aligned their vision and values to that of the wider partnership."

Quality Improvement

Latest Snippet(s)

Positive

"Monitoring care and treatment The practice undertook quality improvement activity and routinely reviewed the effectiveness and appropriateness of the care provided."

Positive

"• The practice was actively involved in quality improvement activity."

2017-11-09 Snippet(s)

Positive

"There was evidence of quality improvement including clinical audit: The practice shared with us examples of audits that they had recently undertaken."

Quality of Care

Latest Snippet(s)

Positive

"Feedback from complaints was being used to improve the quality of care and help turnaround the service."

Positive

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

Positive

"• The practice considered and understood the impact on the quality of care following changes or service developments."

2017-11-09 Snippet(s)

Positive

"This recognises the significant improvements made to the quality of care provided by the service."

Positive

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

Control of Infection

2017-11-09 Snippet(s)

Positive

"• The practice had a variety of other risk assessments in place to monitor the safety of the premises such as the control of substances hazardous to health COSHH and infection control and legionella Legionella is a term for a particular bacterium which can contaminate water systems in buildings."

Positive

"At this inspection we found good progress on actions identified following a recent infection control audit undertaken by the CCG."

Positive

"This included systems and processes for the safe management of medicines infection control and staffing."

Diet

Visitors

2017-11-09 Snippet(s)

Neutral

"• Child health clinics and regular meetings with the health visitor took place."