Safety

Privacy

Latest Snippet(s)

Positive

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

2015-06-25 Snippet(s)

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 that patients’ privacy and dignity was maintained during examinations investigations and treatments."

Neutral

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

Safety

Latest Snippet(s)

Positive

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

Positive

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

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

Positive

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

Positive

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

Positive

"This helped it to understand risks and gave a clear accurate and current picture of safety that led to safety improvements."

Neutral

"At this inspection we found: • The practice had clear systems to manage risk so that safety incidents were less likely to happen."

2015-06-25 Snippet(s)

Positive

"Information about how to complain was available and easy to understand • The practice had a clear vision which had quality and safety as its top priority."

Positive

"Staff were fully trained in use 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

"We saw risk assessments in relation to fire safety and legionella were recently reviewed."

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 lead for health and safety."

Positive

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

Positive

"Patient safety alerts were received by the practice manager and disseminated to other staff in the practice."

Positive

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

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

"For example we saw the minutes of nursing staff meetings showed there had been discussion in relation to equipment vaccinations health and safety and patients with additional needs."

Abuse

Latest Snippet(s)

Positive

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

2015-06-25 Snippet(s)

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."

Diet

Signage

2015-06-25 Snippet(s)

Neutral

"A door bell and braille signage was installed at the front door to assist some patients in entering the building."

Support

Latest Snippet(s)

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 practice scored above local and national averages for patient satisfaction in all indicators included in the evidence table for kindness respect and compassion."

Positive

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

Positive

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

Positive

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

Positive

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

2015-06-25 Snippet(s)

Positive

"Patientcarer support to cope emotionally with care and treatment Feedback from the patients we spoke with on the day of our inspection and the comment cards we received indicated patients were happy with the level of emotional support they received."

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

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

Positive

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

Positive

"We also saw that 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 that patients’ privacy and dignity was maintained during examinations investigations and treatments."

Equality

Latest Snippet(s)

Positive

"• The practice actively promoted equality and diversity."

Neutral

"Staff had received equality and diversity training."

2015-06-25 Snippet(s)

Positive

"Tackling inequity and promoting equality The practice provided equality and diversity training through elearning provided by the local medical committee."

Neutral

"We saw records to show this was completed and staff we spoke with confirmed that they had completed the equality and diversity training."

Complaints

Latest Snippet(s)

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."

2015-06-25 Snippet(s)

Positive

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

Positive

"Clinical governance meetings were held every two months or more frequently if needed because of new guidance a serious complaint or significant event."

Governance

Latest Snippet(s)

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 interactive and coordinated personcentred care."

2015-06-25 Snippet(s)

Positive

"Significant events was a standing item on the practice governance meeting agenda and additional dedicated meetings were held when required to review actions from past significant events and complaints."

Positive

"Induction records showed significant policies had been reviewed including those for information governance safeguarding and health and safety."

Positive

"The core business included quality and governance along with patient experience."

Positive

"Clinical governance meetings were held every two months or more frequently if needed because of new guidance a serious complaint or significant event."

Neutral

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

Neutral

"We saw the practice had an appraisal policy and this formed part of the governance system."

Sustainability

Latest Snippet(s)

Positive

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

Quality Improvement

Latest Snippet(s)

Positive

"Monitoring care and treatment 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."

Quality of Care

Latest Snippet(s)

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."

2015-06-25 Snippet(s)

Positive

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

Control of Infection

2015-06-25 Snippet(s)

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

"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 senior partner was the lead for safeguarding."

Visitors

2015-06-25 Snippet(s)

Positive

"In addition there were monthly multidisciplinary team meetings with the community matron and district nurses monthly meetings with the health visitor or midwife and monthly meetings to discuss unplanned hospital admission avoidance with the practice care coordinator."