What is the Quality of Safety at The Family Practice

Positive

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

Positive

"• Curtains were provided in consulting rooms to maintain patients’ privacy and dignity during examinations investigations and treatments."

Neutral

"• However privacy was limited in the large shared treatment room as although screening was provided it didn’t provide privacy for conversations."

Neutral

"However privacy was limited in the large shared treatment room as although screening was provided it didn’t provide any privacy for conversations."

Positive

"• There was an effective system in place for reporting and recording significant events • Lessons were shared to make sure action was taken to improve safety in the practice."

Positive

"• The practice should review how fire safety is managed so that fire risk assessments fire drills emergency lighting and safety checks are carried out in accordance to best practice and sustained."

Positive

"• The practice should review how fire safety was managed so that fire risk assessments fire drills emergency lighting and safety checks are carried out in accordance to best practice and sustained."

Positive

"The practice had systems in place for notifiable safety incidents and ensured this information was shared with staff to ensure appropriate action was taken • The practice proactively sought feedback from staff and patients which it acted on."

Positive

"Overview of safety systems and processes The practice had clearly defined and embedded systems processes and practices in place to keep patients safe and safeguarded from abuse which included: • Arrangements were in place to safeguard children and vulnerable adults from abuse."

Positive

"Our key findings across all the areas we inspected were as follows: • There was an open and transparent approach to safety and an effective system in place for reporting and recording significant events."

Positive

"The practice had a variety of other risk assessments in place to monitor safety of the premises such as control of substances hazardous to healthCOSHH and infection control and legionella Legionella is a term for a particular bacterium which can contaminate water systems in buildings."

Positive

"We saw evidence that lessons were shared and action was taken to improve safety in the practice."

Positive

"There was a health and safety policy available with a poster in a prominent place for staff which identified local health and safety representatives."

Positive

"During the inspection the practice manager engaged their contractor for fire safety to check the potential of risk on their behalf."

Positive

"This included support training for all staff on communicating with patients about notifiable safety incidents."

Positive

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

Positive

"Minor changes to the health and safety policy were required to ensure it met with current practices for example the practice no longer kept liquid nitrogen on the premises."

Positive

"However the document was brief and did not necessarily reflect current fire safety standards nor did it highlight the specific risks regarding the unique features such as the high ceilings the method of storing paper records on open shelves old library area the wooden panelling and decorative wooden doors."

Positive

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

Neutral

"This covered such topics as safeguarding infection prevention and control fire safety health and safety and confidentiality."

Positive

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

Positive

"Overview of safety systems and processes The practice had clearly defined and embedded systems processes and practices in place to keep patients safe and safeguarded from abuse which included: • Arrangements were in place to safeguard children and vulnerable adults from abuse."

Positive

"The practice had a variety of other risk assessments in place to monitor safety of the premises such as control of substances hazardous to healthCOSHH and infection control and legionella Legionella is a term for a particular bacterium which can contaminate water systems in buildings."

Positive

"• The practice should review elements of the environment relating to risks to infection control management such as the wooden panelling and facilities including floor surfaces in some consulting rooms."

Positive

"• Elements of the environment raised the risks for infection control management such as wooden panelling and facilities should be reviewed."

Positive

"One of practice nurses was the infection control clinical lead who liaised with the local infection prevention teams in order to keep up to date with best practice."

Positive

"They were in the process of obtaining planning permission to build an extension in the car park area to accommodate new treatment areas that met with current good practice for infection control and patient access."

Positive

"However we saw from the environment particularly in the treatment room area it was difficult to maintain and keep to current infection control guidelines."

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 they could address that were identified as a result."

Neutral

"For example: • Patients receiving end of life care carers those at risk of developing a longterm condition and those requiring advice on their diet and smoking cessation."

Positive

"For example the implementation of WiFi in the waiting area promotion of selfcare information and support and signage in the waiting and reception area."

Positive

"Patients said they felt the practice offered an excellent and much valued service and staff were helpful caring and treated them with 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

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

Positive

"Patient feedback given directly to the practice highlighted patients had found that staff had treated them with kindness and understanding were prompt in providing the care and support they needed and had reduced their apprehension."

Positive

"Comments included in patient feedback given directly to the practice highlighted patients had found that staff had treated them with kindness and understanding were prompt in providing the care and support they needed and had reduced their apprehension."

Positive

"Results from the national GP patient survey showed patients felt they were treated with compassion dignity and respect."

Positive

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

Positive

"• Curtains were provided in consulting rooms to maintain patients’ privacy and dignity during examinations investigations and treatments."

Positive

"• There was an overarching governance framework which supported the delivery of the strategy and good quality care."

Positive

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

Neutral

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

Positive

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

Positive

"Improvements were made to the quality of care as a result of complaints and concerns."