What is the Quality of Safety at The Laurie Pike Health Centre

Positive

"At this inspection we noted some improvements however there were ongoing gaps in record keeping to support good infection control practices."

Positive

"Infection prevention and control audits highlighted some repeated issues with no indication to demonstrate or assure that infection control risk had been mitigated or managed."

Neutral

"In particular:Although we saw evidence of a completed infection control audit for the branch practice at Shanklin House Surgery the practice could not provide evidence of an action plan in relation to this."

Positive

"The responsibility for monitoring hygiene standards and infection control was shared between an advanced nurse practitioner ANP and a practice nurse."

Positive

"For example infection control and dementia care."

Neutral

"Cleanliness and infection control We were told that an external cleaning company completed daily cleaning at the practice."

Neutral

"All staff had attended training on infection control and the leads had attended specialist training to equip them with the skills needed for this role."

Positive

"• Staff dealt with patients with kindness and respect and involved them in decisions about their care."

Positive

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

Positive

"Our discussions with patients on the day and feedback from comment cards told us patients felt that staff were caring and their privacy and dignity was respected."

Positive

"We also saw that clinical staff treated patients with kindness and respect."

Positive

"We saw that the practice charter included five statements regarding patient care treating patients with respect and staff training."

Positive

"Staff and patients told us that all consultations and treatments were carried out in the privacy of a consulting room and that patients’ privacy and dignity was maintained during examinations investigations and treatments."

Positive

"There was a privacy and dignity policy in place and all staff had access to this."

Neutral

"• At our last inspection we found that the practices governance arrangements were not effective in supporting adequate infection prevention and control."

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."

Positive

"Governance arrangements There was a clear governance structure at the practice that provided assurance to patients and the Clinical Commissioning Group CCG that the service was operating safely and effectively."

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."

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."

Positive

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

Positive

"• Improve record keeping to reflect actions taken following the management of safety alerts and for the monitoring of prescription stationery."

Positive

"• Ensure fire safety measures provide details on fire assembly points for people for service users and staff at the branch practice Shanklin House Surgery."

Positive

"Monitoring safety and responding to risk Staff had received regular fire safety training and participated in regular fire drills to maintain their knowledge of how to respond in an emergency."

Positive

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

Positive

"Our key findings were as follows: • Systems were in place to ensure that all staff had access to relevant national patient safety alerts."

Positive

"A fire safety risk assessment was in place and had been reviewed annually to ensure it was still relevant."

Positive

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

Positive

"We reviewed safety records incident reports and minutes of meetings where these were discussed."

Positive

"National patient safety alerts were disseminated by the practice manager to relevant staff to read and sign off."

Positive

"All staff spoken with knew where patient safety alerts were kept."

Positive

"Reliable safety systems and processes including safeguarding The practice had a lead GP and a deputy lead appointed for safeguarding vulnerable adults and children."

Positive

"There was a health and safety policy in place and staff knew where to access it."

Neutral

"Nonclinical staff had been risk assessed to ensure patient safety when this staff group spoke with patients."

Positive

"Our discussions with patients on the day and feedback from comment cards told us patients felt that staff were caring and their privacy and dignity was respected."

Positive

"Staff and patients told us that all consultations and treatments were carried out in the privacy of a consulting room and that patients’ privacy and dignity was maintained during examinations investigations and treatments."

Positive

"There was a privacy and dignity policy in place and all staff had access to this."

Neutral

"We saw that all clinical rooms had window blinds and privacy screening."

Positive

"The practice regularly worked with multidisciplinary teams in the case management of vulnerable patients and had sign posted vulnerable patients to various support groups and third sector organisations."

Positive

"Patients who had minor surgery had the procedure explained to them and the potential complications before they were asked to sign a consent form to confirm this."

Positive

"National patient safety alerts were disseminated by the practice manager to relevant staff to read and sign off."

Positive

"Tackling inequity and promoting equality The practice had recognised the needs of different groups in the planning of its services and had made arrangements for meeting their needs."

Neutral

"The practice had an equality and diversity policy and staff were aware of it."

Neutral

"There was a dedicated practice leaflet that informed patients of how to make a complaint and what they could expect."