What is the Quality of Safety at North Park Health Centre

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

"Structures processes and systems to support good governance were not always clearly set out."

Positive

"Structures processes and systems to support good governance were not always clearly set out and there was not always sufficient leadership oversight of some of the systems and processes in place."

Positive

"• Ensure meetings including clinical and governance meetings are appropriately documented."

Positive

"Governance arrangements Some of the systems of accountability and governance were not fully clear or effective."

Positive

"• Systems for clinical governance were not always clearly established."

Neutral

"We found a level of discourse between what the provider was doing centrally in terms of governance and what staff and leaders at the practice were aware of."

Positive

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

Positive

"The provider told us they used information technology systems to monitor and improve the quality of care provided across a number of their GP practices."

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

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

Positive

"• When safety incidents did happen the practice learned from them and improved their processes."

Positive

"• The practice learned and acted to improve safety in the practice."

Positive

"• A safe working practice risk assessment had been carried out covering aspects of health and safety and this included information on the actions taken to mitigate risks."

Positive

"• The provider had a system in place for managing patient safety alerts."

Positive

"The new agenda included discussion and learning in areas such as; the care provided to palliative patients and those with a critical illness newly diagnosed cancer patients safeguarding concerns safety alerts significant events complaints the Quality Outcome Framework and sharing of evidence based guidance."

Positive

"This showed that there were some gaps in training in topics such as safeguarding fire safety and infection control."

Positive

"For example in relation to the systems in place at the location level for managing patient safety alerts and directives for staff administering vaccines."

Positive

"Staff provided examples of when they had recognised signs of potential abuse in vulnerable adults and how they had acted to report their concerns."

Positive

"Staff told us they took steps to protect patients from abuse including working with other agencies."

Positive

"Some environmental factors made infection control practices more difficult to maintain but the provider was working around this whilst awaiting an upgrade to the premises."

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

"• We observed that members of staff were courteous and helpful to patients and treated them with dignity and respect."

Positive

"• Staff recognised the importance of patients’ dignity and respect and they told us how they worked to ensure they maintained patient confidentiality."

Positive

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

Positive

"The initial complaint had been documented as received and the practice manager told us they had dealt with each complaint verbally and to the satisfaction of the patients concerned."

Positive

"• A complaints information leaflet was available to help patients understand the complaints procedure and how they could expect their complaint to be dealt with."

Positive

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