What is the Quality of Safety at Southmead and Henbury Family Practice

Positive

"• And: The provider should: • Carry out a patient specific fire safety risk assessment."

Positive

"• The practice should ensure that the patient specific fire safety risk assessment is regularly reviewed and updated when required."

Positive

"Although the provider had greater information available to support fire safety systems were in place the policy procedures and risk assessment were not specific to the provision of the GP service."

Positive

"• Changes had been put in place for prescription management security and fire safety assessments were now in place at the practice."

Positive

"• Improvements had been made for prescription management security and fire safety assessments at the practice."

Positive

"All documents included information from the landlord’s fire safety protocols but now also included detailed information relative to the GP service."

Positive

"Learning and improvement from safety incidents The practice had developed a proforma for the recording of significant events."

Positive

"The provider should: • Carry out a patient specific fire safety risk assessment."

Positive

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

Positive

"Some improvements must be made to infection control arrangements and the practice should devise a surgery patient specific fire safety risk assessment."

Positive

"Action the service SHOULD take to improve Carry out a patient specific fire safety risk assessment."

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 meetings where these were discussed for the last year."

Positive

"Reliable safety systems and processes including safeguarding One of the GPs was identified as the lead for safeguarding children and vulnerable adults and another was identified as deputy."

Positive

"Monitoring safety and responding to risk There were practice policies relating to health and safety and fire safety."

Positive

"Health promotion and prevention Clinics for the management of asthma and diabetes were held in the surgery and appointments could be made with a health promotion nurse for lifestyle and diet advice well person checks coronary heart disease checks cervical smears menopause advice and smoking cessation."

Positive

"• Patients said they were treated with compassion dignity and respect and were involved in decisions about their care and 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 received positive comments from a health visitor who felt the health visitor team had a good relationship with the practice with mutual respect for each other’s roles."

Positive

"Patients said they were involved in decisions about their care and treatment and their privacy and dignity was respected."

Positive

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

Positive

"It outlined when patients should seek medical help in respect of various conditions."

Positive

"We saw the complaints log book recorded complaints received in respect of both the Willow Tree Surgery and Southmead Health Centre and noted that many of the complaints made by patients were not related to action by the practice but by other agencies."

Positive

"We saw information provided by the NHS England area team that provided a framework for making decisions in respect of advance directives to not resuscitate."

Positive

"There was a sign asking patients to respect the privacy of others by standing back from the reception desk until it was their turn to be seen however conversations could still be heard."

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

"Our previous key findings across the areas we had inspected that needed to improve were as follows: The provider must: • To ensure all aspects of infection control are maintained."

Positive

"Trolleys for clinical use needed replacing as there was flaking of the outer surface of the coating around the edges leading to an infection control risk and difficult to keep clean."

Neutral

"The lead practice nurse for infection control provided information at this inspection to show that this had been addressed."

Positive

"• Risks to patients were assessed and well managed except in relation to some aspects of infection control and fire safety."

Positive

"Some improvements must be made to infection control arrangements and the practice should devise a surgery patient specific fire safety risk assessment."

Positive

"In one of the GPs consulting rooms there was damaged laminate on the desk and the bottom of the storage drawers and trollies needed replacing as they were old and there was flaking of the outer surface of the coating around the edges leading to an infection control risk."

Positive

"Importantly the provider must: To ensure all aspects of infection control are maintained the provider must ensure there are suitable arrangements in place for the management of clinical waste and ensure all areas of the practice are maintained in a way to reduce the risk of cross infection."

Neutral

"We carried out an audit of infection control arrangements using a recognised infection prevention and control audit tool."

Positive

"Patients said they were involved in decisions about their care and treatment and their privacy and dignity was respected."

Positive

"There was a sign asking patients to respect the privacy of others by standing back from the reception desk until it was their turn to be seen however conversations could still be heard."

Neutral

"One of the patients we spoke with told us their privacy was maintained."

Positive

"We received positive comments from a health visitor who felt the health visitor team had a good relationship with the practice with mutual respect for each other’s roles."

Neutral

"We spoke with patients and received feedback form the health visitor team."

Positive

"We noted the reception area did not allow for confidential conversations between receptionists and patients and there was no sign indicating a private space was available if needed."

Positive

"There was a sign asking patients to respect the privacy of others by standing back from the reception desk until it was their turn to be seen however conversations could still be heard."

Positive

"Tackling inequity and promoting equality The practice provided equality and diversity training through elearning."

Positive

"It explained if a patient remained unhappy the complaint would be investigated by a senior member of staff."

Neutral

"We saw a complaint had been raised as a significant event and was discussed at a significant event meeting."

Positive

"Its vision was to work in partnership with patients and staff to provide the best primary care services possible working within local and national governance guidance e and regulations."

Neutral

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