What is the Quality of Safety at Dr Syed Hamdani

Positive

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

Positive

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

Positive

"• The practice considered and understood the impact on the quality of care of service changes or developments."

Positive

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

Positive

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

Positive

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

Positive

"Disposable curtains were provided in consulting rooms and treatment rooms so patients’ privacy and dignity was maintained during examinations investigations and treatments."

Positive

"Staff told us if they had any concerns or observed any instances of discriminatory behaviour or where patients’ privacy and dignity was not being respected; they would raise these with the practice manager."

Neutral

"Staff and patients told us all consultations and treatments were carried out in the privacy of a consulting room."

Neutral

"The practice scored well above the CCG average on the national GP patient survey for privacy in the reception area."

Positive

"• Staff were clear on their roles and accountabilities including in respect of safeguarding and infection prevention and control • Practice leaders had established policies procedures and activities to ensure safety and assured themselves that they were operating as intended."

Positive

"The fire safety risk assessment was limited in scope."

Positive

"A fire safety risk assessment had been undertaken but was limited in scope."

Positive

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

Positive

"A fire safety risk assessment was limited in scope."

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

"• Risk assessment activity was incomplete including health and safety premises and security."

Positive

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

Positive

"However there was limited risk assessment activity in relation to safety issues.. • The practice had processes to manage current and future performance."

Positive

"Practice leaders had oversight of safety alerts incidents and complaints."

Positive

"In particular:There was limited risk assessment activity in relation to safety issues."

Positive

"• An electrical safety check had not been undertaken on the premises within the last five years."

Positive

"However we saw that fire safety training was overdue for the staff team."

Positive

"Track record on safety • There was limited risk assessment activity in relation to safety issues."

Positive

"We did not see a premises or security assessment or a health and safety risk assessment."

Positive

"All staff were fully trained on the system and commented positively about the system’s safety and ease of use."

Positive

"Information about safety was recorded monitored appropriately reviewed and addressed."

Positive

"Monitoring safety and responding to risk The practice had systems processes and policies in place to manage and monitor risks to patients staff and visitors to the practice."

Positive

"The GP and nurses told us clinical audits were often linked to medicines management information safety alerts or as a result of information from the quality and outcomes framework QOF."

Positive

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

Positive

"Health and safety information was displayed for staff to see and there was an identified health and safety representative."

Positive

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

Positive

"We reviewed safety records incident reports and minutes of practice meetings where these were discussed for the last three years."

Positive

"National patient safety alerts were disseminated by the practice manager to practice staff via email and also a copy printed off and stored in the alerts folder."

Positive

"Reliable safety systems and processes including safeguarding The practice had systems to manage and review risks to vulnerable children young people and adults."

Positive

"The practice also had a health and safety policy."

Positive

"• Staff took steps including working with other agencies to protect patients from abuse neglect discrimination and breaches of their dignity and respect."

Positive

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

Positive

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

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

"• The practices GP patient survey results were similar or above local and national averages for questions relating to kindness respect and compassion."

Positive

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

Positive

"• Staff were clear on their roles and accountabilities including in respect of safeguarding and infection prevention and control • Practice leaders had established policies procedures and activities to ensure safety and assured themselves that they were operating as intended."

Positive

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

Positive

"• Staff took steps including working with other agencies to protect patients from abuse neglect discrimination and breaches of their dignity and respect."

Positive

"The evidence from these sources showed patients were satisfied with how they were treated and this was with compassion dignity and respect."

Positive

"Patientcarer support to cope emotionally with care and treatment The survey information we reviewed showed patients were positive about the emotional support provided by the practice and rated it well in this area."

Positive

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

Positive

"• Patients said they were treated with compassion dignity and respect."

Positive

"Patients said they were treated with compassion dignity and respect."

Positive

"Patients told us they were treated by staff with compassion dignity and respect."

Positive

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

Positive

"They said staff treated them with dignity and respect."

Positive

"Disposable curtains were provided in consulting rooms and treatment rooms so patients’ privacy and dignity was maintained during examinations investigations and treatments."

Positive

"Staff told us if they had any concerns or observed any instances of discriminatory behaviour or where patients’ privacy and dignity was not being respected; they would raise these with the practice manager."

Positive

"• Information about how to make a complaint or raise concerns was available."

Positive

"• The complaint policy and procedures were in line with recognised guidance."

Positive

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

Positive

"We were shown details of a complaint where a patient had arrived for two appointments and one was not booked on the system."

Neutral

"The complaint response addressed the areas of concern detailed the Are services responsive to people’s needs?"

Positive

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

Positive

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

Positive

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

Neutral

"The practice held monthly practice meetings where governance issues were discussed."

Positive

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

Positive

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

Positive

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

Positive

"Cleanliness and infection control We observed the premises to be clean and tidy."

Positive

"An infection control policy and supporting procedures were available for staff to refer to which enabled them to plan and implement measures to control infection."

Neutral

"The practice had a lead for infection control who had undertaken further training to enable them to provide advice on the practice infection control policy and carry out staff training."

Neutral

"All staff received induction training about infection control specific to their role and received annual updates."

Neutral

"For example personal protective equipment including disposable gloves aprons and coverings were available for staff to use and staff were able to describe how they would use these to comply with the practice’s infection control policy."

Neutral

"For example there was a lead nurse for infection control and the full time GP was the lead for safeguarding."

Positive

"We were shown the staff handbook that was available to all staff which included sections on equality and harassment and bullying at work."

Positive

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

Neutral

"The practice provided equality and diversity training through elearning."