What is the Quality of Safety at Ringmead Medical Practice

Positive

"The practice had carried out an internal risk assessment with an interim fire evacuation plan to manage the fire safety risk while building extension work was undertaken to add two new consulting rooms and modifications in the reception area."

Positive

"The practice also 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."

Positive

"• When there were safety incidents patients received reasonable support truthful information a verbal and written apology and are told about any actions to improve processes to prevent the same thing happening again."

Positive

"The building work was completed after the inspection and the practice informed us they had updated a fire safety risk assessment carried out by an external contractor."

Positive

"The practice was carrying out regular fire safety checks which included carrying out regular smoke alarm checks."

Positive

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

Positive

"• Staff received training that included: safeguarding children and adults fire safety basic life support health and safety and equality and diversity."

Positive

"When there were significant safety incidents: • The practice gave affected patients reasonable support truthful information and a verbal and written apology."

Positive

"The practice had systems in place for knowing about notifiable safety incidents."

Positive

"Overview of safety systems and processes The practice had systems processes and practices in place to keep patients safe and safeguarded from abuse however improvements were required."

Positive

"The practice had a health and safety policy."

Neutral

"• The practice had a staff handbook for newly appointed members of staff that covered such topics as safeguarding fire safety health and safety and confidentiality."

Positive

"Areas for improvement Action the service MUST take to improve • Further review assess and monitor the governance arrangements in place to ensure the delivery of safe and effective services."

Positive

"The areas where the provider must make improvements are: • Further review assess and monitor the governance arrangements in place to ensure the delivery of safe and effective services."

Positive

"However governance monitoring of specific areas required improvement such as management of legionella monitoring of the vaccine fridge and medicines and management of blank prescription forms for use in printers were not always managed appropriately."

Positive

"However governance monitoring of specific areas required improvement for example: • There was a clear staffing structure and that staff were aware of their own roles and responsibilities."

Neutral

"• The practice had a governance framework."

Neutral

"The practice had a number of policies and procedures to govern activity and held regular governance meetings."

Neutral

"• The practice informed us they had developed a practice list of priorities during an away day every year which reviewed on regular basis during governance meetings."

Neutral

"Governance arrangements The practice had a governance framework."

Positive

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

Positive

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

Positive

"The patients said staff treated them with dignity and their privacy was respected."

Positive

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

Positive

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

Positive

"• Arrangements were in place to safeguard children and vulnerable adults from abuse that reflected relevant legislation and local requirements and policies were accessible to all staff."

Positive

"Overview of safety systems and processes The practice had systems processes and practices in place to keep patients safe and safeguarded from abuse however improvements were required."

Positive

"A practice nurse was the infection control 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 infection control audits were undertaken regularly."

Neutral

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

Positive

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

Positive

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

Positive

"• Most of the patients said they were treated with compassion dignity and respect and they were involved in decisions about their care and treatment."

Positive

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

Positive

"The practice vision and values included providing highly effective efficient and safe healthcare by treating patients with dignity and respect."

Positive

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

Positive

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

Positive

"The patients said staff treated them with dignity and their privacy was respected."

Positive

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

Positive

"• Staff received training that included: safeguarding children and adults fire safety basic life support health and safety and equality and diversity."

Positive

"We saw the practice had included necessary information of the complainant’s right to escalate the complaint to the Ombudsman if dissatisfied with the response."

Positive

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

Positive

"Clinical audits were carried out to demonstrate quality improvement and all relevant staff were involved in improving care and treatment and patient outcomes."