What is the Quality of Safety at Sheldon Medical Centre

Positive

"Patients told us they were satisfied with the care provided by the practice and that their dignity and privacy was respected."

Positive

"Patients said that all staff respected their confidentiality privacy and dignity."

Positive

"Disposable curtains were provided in consulting rooms and treatment rooms so that patients’ privacy and dignity was maintained during examinations investigations and treatments."

Neutral

"Staff and patients told us that all consultations and treatments were carried out in the privacy of a consulting room."

Positive

"There was a health and safety policy and the practice had risk assessments in place to monitor fire risk and the safety of the premises."

Positive

"Effective staffing • The practice had an induction programme for newly appointed members of staff that covered topics such as safeguarding fire safety health and safety infection Are services effective?"

Neutral

"Overview of safety systems and processes • The practice had clearly defined and embedded systems in place to keep people safe and safeguarded from abuse."

Positive

"The practice had not undertaken a legionella risk assessment a germ found in the environment which can contaminate water systems in buildings although this had been highlighted as an issue for action in a recent health and safety risk assessment."

Positive

"We saw a sample of risk assessments completed such as health and safety and fire risk assessments."

Positive

"Learning and improvement from safety incidents The practice had a system in place for reporting recording and monitoring significant events incidents and accidents."

Positive

"We saw documentary evidence to demonstrate that significant event audits were conducted following patient safety incidents."

Positive

"Health and safety information was displayed for staff to see and there was an identified health and safety representative."

Positive

"For example reported incidents national patient safety alerts as well as comments and complaints received from patients."

Positive

"We reviewed safety records and incident reports for the twelve months prior to this inspection."

Positive

"We looked at the minutes of a staff meeting and saw that incidents complaints and patient safety alerts had been discussed at this meeting."

Positive

"Reliable safety systems and processes including safeguarding The practice GP was the appointed lead in safeguarding vulnerable adults and children."

Positive

"Patients we spoke with on the day of our inspection did not raise any safety concerns."

Positive

"The need to complete a legionella risk assessment was highlighted as an area for action in a recent health and safety audit undertaken."

Positive

"We saw that the practice had a detailed health and safety policy."

Positive

"Arrangements were in place to safeguard adults and children from abuse that reflected relevant legislation."

Positive

"Our key findings were as follows: • Patients were protected from the risk of abuse and avoidable harm."

Positive

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

Positive

"Staff we spoke with knew how to recognise signs of abuse in vulnerable adults and children."

Positive

"When we inspected the practice previously we found that formal risk assessments were not in place to assess specific risks associated with infection control including legionella and the control of substances hazardous to health COSHH."

Neutral

"• The practice nurse was the infection control lead."

Neutral

"Staff had received up to date infection control training and the training was also incorporated in to the induction programme for new staff members."

Positive

"Staff were aware that there were lead roles and knew who to speak with if they needed any guidance or had concerns for example in areas such as infection control safeguarding or complaints."

Positive

"Patients we spoke with told us that they had no issues regarding cleanliness or infection control at the practice."

Positive

"Infection prevention and control measures in place included the use of personal protective equipment PPE infection control audits clearly labelled sharps bins and spillage kits."

Positive

"Emergency medication and equipment was appropriately stored and signage was in place showing the location of the emergency equipment."

Positive

"• We saw that staff were courteous and helpful to patients both attending at the reception desk and on the telephone and that people were treated with dignity and respect."

Positive

"• We noticed that members of staff were courteous and helpful to patients both attending at the reception desk and on the telephone and that people were treated with dignity and respect."

Positive

"Patients told us they were satisfied with the care provided by the practice and that their dignity and privacy was respected."

Positive

"The practice ethos was based on mutual respect holistic care and continuity of care learning and training."

Positive

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

Positive

"We saw that staff treated patients with kindness and respect ensuring confidentiality was maintained."

Positive

"We were told that staff treated patients with respect and courtesy."

Positive

"Disposable curtains were provided in consulting rooms and treatment rooms so that patients’ privacy and dignity was maintained during examinations investigations and treatments."

Positive

"• Although the practice manager had completed an equality assessment the assessment had not considered how risk was managed in the absence of an emergency cord in the patient toilet."

Positive

"Although the practice manager had completed an equality assessment the assessment had not considered how risk was managed in the absence of an emergency cord."

Positive

"Tackle inequity and promote equality The practice was located in a single storey building with all services therefore being provided at ground floor level."

Positive

"The practice website did not give any information to assist patients to make a complaint if they wished to do so."

Positive

"None of the patients we spoke with had ever needed to make a complaint about the practice."

Positive

"Information governance supports the organisation’s immediate and future regulatory legal risk environmental and operational requirements."

Neutral

"Governance Arrangements Information governance IG is the set of multidisciplinary structures policies procedures processes and controls to manage information."

Neutral

"The IG Toolkit is an online system developed by the Department of Health DoH which allows NHS organisation to assess themselves against DoH information governance policies and standards."

Positive

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

Positive

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

Positive

"• Patients received care and treatment which achieved good outcomes promoted a good quality of life and was based on the best available evidence."