What is the Quality of Safety at The Seven Dials Medical Centre

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

"Observations on the day of inspection and completed comment cards were very positive with respect to patient satisfaction."

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

"Results from the national GP patient survey showed patients were happy with how they were treated and that this was with compassion 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

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

Positive

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

Positive

"Curtains were provided in consulting rooms so that patients’ privacy and dignity was maintained during examinations investigations and treatments."

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

"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

"Curtains were provided in consulting rooms so that patients’ privacy and dignity was maintained during examinations investigations and treatments."

Positive

"This particularly included the assessment monitoring and improving quality and safety in relation to areas covered in the Quality Outcome Framework and the use of Patient Specific Directions."

Positive

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

Positive

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

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

"At this inspection we found: • The practice had systems to manage risk so that safety incidents were less likely to happen but these were not always comprehensive."

Positive

"• The practice conducted safety risk assessments."

Positive

"It had a suite of safety policies which were regularly reviewed and communicated to staff."

Positive

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

Positive

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

Positive

"This helped it to understand risks that led to safety improvements."

Positive

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

Positive

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

Positive

"Lessons were shared to make sure action was taken to improve safety in the practice."

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 and legionella."

Positive

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

Positive

"There was a health and safety policy available with a poster in the reception office."

Neutral

"Overview of safety systems and processes The practice had processes and practices in place to keep people safe which included: • Arrangements were in place to safeguard adults and children from abuse that reflected relevant legislation and local requirements and policies were accessible to all staff."

Neutral

"• The practice had an induction programme for newly appointed clinical and nonclinical members of staff that covered such topics as safeguarding fire safety health and safety and confidentiality."

Positive

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

Positive

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

Neutral

"Overview of safety systems and processes The practice had processes and practices in place to keep people safe which included: • Arrangements were in place to safeguard adults and children from abuse that reflected relevant legislation and local requirements and policies were accessible to all staff."

Positive

"• The practice actively promoted equality and diversity."

Neutral

"Not all staff had recently completed equality and diversity training but it was included in the induction programme and the practice had identified it as a training priority for the coming year."

Positive

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

Positive

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

Neutral

"• Review and amend complaint response letters to improve information for patients."

Positive

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

Positive

"The areas where the provider must make improvements as they are in breach of regulations are: • Establish effective systems and processes to ensure good governance in accordance with the fundamental standards of care."

Positive

"The practice was rated as requires improvement for wellled because arrangements for managing governance required improvement."

Positive

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

Positive

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

Neutral

"• Staff received training that included: safeguarding fire procedures and basic life support and information governance awareness."

Positive

"• Quality and sustainability were discussed in relevant meetings."

Positive

"Monitoring care and treatment The practice had a 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

"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 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."