What is the Quality of Safety at Harbourside Family Practice

Positive

"For example the practice conducted two cycles of an audit to monitor quality of care delivered for patients with Chronic Obstructive Pulmonary Disease COPD in line with recent updates to NICE The National Institute for Health and Clinical care Excellence guidance."

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

"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

"In the treatment suite where the nursing staff ran clinics curtains divided the treatment couches and patients’ privacy was maintained as best as possible when treatment was being carried out."

Positive

"Adjustable examination couches were available in all treatment rooms which had appropriate privacy screening."

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."

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

"Track record on safety Are services safe?"

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."

Positive

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

Positive

"Other equipment such as fire extinguishers were also serviced and tested annually in line with fire safety requirements."

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 building had a fire system and firefighting equipment which was in accordance with the fire safety legislation."

Positive

"We asked the lead partner how national patient safety alerts NSPA and other safety guidance was checked and circulated to the relevant staff."

Positive

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

Positive

"Although there was no clear protocol we found during our discussion with staff that safety alerts were circulated and acted on."

Positive

"Reliable safety systems and processes including safeguarding The practice had systems to manage and review risks to vulnerable children young people and ‘at risk’ 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 harassment 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

"The arrangements in place to safeguard adults and children from abuse reflected relevant legislation and local requirements."

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

"• 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

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

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 harassment discrimination and breaches of their dignity and respect."

Positive

"Patients’ feedback about the practice said they were treated with kindness dignity respect and compassion while they received care and treatment."

Positive

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

Positive

"The evidence from all this showed patients were satisfied with how they were treated and that 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

"Health promotion and prevention The practice had met with the local authority and the North Somerset Clinical Commissioning Group in respect of public health and health promotion to identify and share information about the needs of the practice population."

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."

Positive

"• The practice actively promoted equality and diversity."

Neutral

"Staff had received equality and diversity training."

Positive

"Tackling inequity and promoting equality The practice had access to online and telephone translation services."

Neutral

"The practice provided equality and diversity training as part of the staff induction."

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

"Each complaint or comment was also reviewed."

Positive

"None of the patients we spoke with had ever needed to make a complaint about the practice but told us they felt the practice would listen and respond to their concerns."

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."

Positive

"These individual aspects of governance provided evidence of how the practice functioned and the level of service quality delivered to patients."

Neutral

"The practice had a number of measures in place as part of its governance arrangements for example audits procedures reviews monitoring mechanisms questionnaires and meetings."

Neutral

"There were GP leads for clinical governance and the partners mentored salaried GPs."

Positive

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

Positive

"Monitoring care and treatment The practice had a comprehensive programme of quality improvement activity which included conducting clinical audits and routinely reviewing the effectiveness and appropriateness of the care provided."

Positive

"We found risk assessments had been carried out where risks were identified and action plans had been produced and implemented for example within the infection control audit."

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 including recording the immunisation status of clinical staff."

Positive

"The practice had a nurse with lead responsibility for infection control who had undertaken 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

"These 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."