What is the Quality of Safety at Schopwick Surgery

Positive

"They also told us they were 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."

Positive

"In addition extra reception staff and phone lines had been added each morning to meet demand for appointments and the reception area had been reorganised to improve privacy and confidentiality at the counter."

Positive

"Overview of safety systems and processes 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

"Our key findings across all the areas we inspected were as follows: • There was an open and transparent approach to safety and an effective system in place for reporting and recording significant events."

Positive

"We saw evidence that lessons were shared and action was taken to improve safety in the practice."

Positive

"The practice had a variety of other risk assessments in place to monitor safety of the premises such as control of substances hazardous to health and infection control and legionella."

Positive

"• Reviewed audits and documentation relating to safety and quality assurance."

Positive

"This measured prescribing against three key quality and safety standards such as the need to establish the patient’s estimated glomerular filtration rate eGFR which refers to renal function."

Positive

"In both cycles the practice performed better than the local standards in the three safety criteria and recommendations made included a biannual check of patients eGFR for those prescribed nitrofurantoin on a longterm basis."

Positive

"This included support training for all staff on communicating with patients about notifiable safety incidents."

Positive

"• Lessons were shared internally and with external colleagues to make sure action was taken to improve safety and reduce the risk of a repeat incident."

Positive

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

Positive

"There was a health and safety policy available and a designated health and safety lead was in post."

Positive

"• Medicines management processes were in place including repeat prescription monitoring emergency drugs checking and a safety alerts protocol."

Positive

"The lead nurse documented weekly safety checks to emergency equipment."

Positive

"Initial and refresher training included safeguarding fire safety awareness basic life support and information governance."

Neutral

"For example following a prescription error new medicines management and safety processes were implemented to ensure patients always received the correct medicine at the correct dose."

Neutral

"This covered such topics as safeguarding infection prevention and control fire safety health and safety and confidentiality."

Positive

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

Positive

"The practice had a variety of other risk assessments in place to monitor safety of the premises such as control of substances hazardous to health and infection control and legionella."

Positive

"The lead practice nurse was the infection control clinical lead who liaised with the local infection prevention teams to keep up to date with best practice."

Neutral

"There was an infection control protocol in place and staff had received up to date training."

Neutral

"Annual infection control audits were undertaken and we saw evidence that action was taken to address any improvements identified as a result."

Neutral

"For example: • Patients receiving end of life care carers those at risk of developing a longterm condition and those requiring advice on their diet smoking and alcohol cessation."

Positive

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

Positive

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

Positive

"• Feedback from patient surveys and CQC comment cards indicated patients were treated with compassion dignity and respect."

Positive

"Results from the national GP patient survey showed patients felt they were treated with compassion dignity and respect."

Positive

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

Positive

"• Structured emotional support was in place for patients including inhouse access to counsellors and a bereavement service."

Positive

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

Positive

"An annual complaint summary meeting involved all practice staff and ensured themes and trends were identified to help improve the service."

Neutral

"In addition as a result of a complaint the practice provided detailed information on repeat Are services responsive to people’s needs?"

Positive

"Governance arrangements The practice had an overarching governance framework which supported the delivery of the strategy and good quality care."

Positive

"• Leadership governance and culture were used to drive and improve the delivery of high quality personcentred care."

Positive

"The practice had a quality improvement and assurance plan that focused on the quality of services and addressing the health inequalities of the local population."

Positive

"Staff also looked at quality improvement plans used outside of England to identify opportunities for piloting and improvement."

Positive

"This included adopting innovative protocols and processes for quality improvement and readily accepting the challenge of pilot programmes."

Positive

"The plan used quality improvement strategies from appropriate organisations including the RCGP and local government and voluntary groups."

Positive

"There was evidence of quality improvement including clinical audit."

Positive

"• Clinical audits and benchmarking exercises demonstrated quality monitoring and improvement."

Positive

"• There was demonstrable collaboration and support across all functions and a common focus on improving quality of care and patients’ experiences achieved through feedback meeting events and audits."

Positive

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

Positive

"Improvements were made to the quality of care as a result of complaints and concerns."