What is the Quality of Safety at Beehive Surgery

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

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

Positive

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

Positive

"Staff took steps to protect patients from abuse neglect harassment discrimination and breaches of their dignity and respect."

Positive

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

Positive

"Patients said they felt the practice offered a good service and staff were helpful caring and treated them with dignity and respect."

Positive

"• Survey information we reviewed showed that patients said they were treated with compassion dignity and respect and they were involved in decisions about their care and treatment."

Positive

"They told us they were usually satisfied with the care provided by the practice and said their dignity and privacy was respected."

Positive

"• Patients were usually positive about their interactions with staff and said they were treated with compassion and dignity."

Positive

"• We saw staff treated patients with kindness and respect and maintained patient and information confidentiality."

Positive

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

Positive

"Good As part of our inspection process we also look at the quality of care for specific population groups."

Positive

"• Clinical audit had a positive impact on quality of care and outcomes for patients."

Positive

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

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

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

Positive

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

Positive

"They told us they were usually satisfied with the care provided by the practice and said their dignity and privacy was respected."

Positive

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

Neutral

"• The practice manager told us privacy curtains where used were changed every year."

Positive

"Track record on safety The practice had a good safety record."

Positive

"All regular safety checks such as for fridge temperatures the fire alarm the defibrillator and emergency lighting were recorded on one form."

Positive

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

Positive

"There were no systems or processes that enabled the registered person to assess monitor and mitigate the risks relating to the health safety and welfare of service users and others who may be at risk."

Positive

"• All staff received uptodate safeguarding and safety training appropriate to their role."

Positive

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

Positive

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

Positive

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

Positive

"No safety checks or adequate risk assessments were carried out."

Positive

"• The practice conducted safety risk assessments."

Positive

"Staff received safety information for the practice as part of their induction and refresher training and evidence was kept of this."

Positive

"The defibrillator and oxygen were checked daily by reception staff and this was recorded along with other safety checks."

Positive

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

Positive

"We saw evidence that all the required fire safety checks took place."

Positive

"• A health and safety risk assessment had been carried out."

Positive

"• There was a system for receiving and acting on safety alerts."

Positive

"We saw the procedure put in place for carrying out regular safety checks."

Neutral

"This helped it to understand risks and gave a clear accurate and current picture that led to safety improvements."

Positive

"These include fire risk assessments fire safety checks defibrillator checks and a legionella risk assessment."

Positive

"The practice did not monitor or improve the quality and safety of the services provided."

Positive

"These included issues relating to fire safety and how complaints should be dealt with."

Positive

"Monitoring risks to patients Procedures for assessing monitoring and managing risks to patient and staff safety were not robust. . • The practice manager told us the locum practice manager had responsibility for health and safety."

Positive

"There was also no evidence the locum practice manager had received fire safety training."

Positive

"In particular: There were no safety checks and risk assessments carried out or updated."

Positive

"They did not carry our formal regular health and safety checks."

Positive

"Elearning was available and some training such as fire safety training had been carried out inhouse."

Positive

"The registered persons had not done all that was reasonably practicable to mitigate risks to the health and safety of service users receiving care and treatment."

Neutral

"Overview of safety systems and processes The practice did not have defined and embedded systems processes and practices in place to minimise risks to patient safety."

Neutral

"We saw that data protection awareness had been discussed with all staff during a recent meeting."

Positive

"Staff took steps to protect patients from abuse neglect harassment discrimination and breaches of their dignity and respect."

Positive

"Additional training had taken place including domestic abuse and female genital mutilation FGM training."

Positive

"• Staff interviewed knew how to recognise signs of abuse in children young people and adults whose circumstances may make them vulnerable."

Positive

"• Staff were able to recognise the signs of abuse in older patients and knew how to escalate any concerns."

Neutral

"Following the inspection the practice provided evidence that the locum practice manager had received infection control training."

Neutral

"Health visitor meetings took place two monthly at the practice."

Positive

"• The practice actively promoted equality and diversity."

Neutral

"Staff had received equality and diversity training."

Positive

"• Information about how to make a complaint or raise concerns was available and it was easy to do."

Positive

"• Ensure that any complaint received is investigated and any proportionate action is taken in response to any failure identified by the complaint or investigation."

Positive

"Responses to patients did not usually include information about how patients could escalate their complaint if they were unhappy with the response."

Positive

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

Positive

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

Positive

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

Positive

"• Establish effective systems and processes to ensure good governance in accordance with the fundamental standards of care."

Positive

"Governance arrangements The practice did not have an overarching governance framework to good quality care."

Positive

"• Quality and sustainability were discussed in relevant meetings where all staff had sufficient access to information."

Positive

"Monitoring care and treatment The practice now had a comprehensive programme of quality improvement activity and routinely reviewed the effectiveness and appropriateness of the care provided."

Positive

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

Positive

"There was no evidence of quality improvement including clinical audit: • Some audits had commenced in the last two years but none of these were completed two cycle audits where the improvements made were implemented and monitored."