What is the Quality of Safety at Wells Road Surgery

Positive

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

Positive

"The practice was a breast feeding friendly building and had designated areas to provide privacy for mothers."

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 health and infection control and legionella Legionella is a term for a particular bacterium which can contaminate water systems in buildings."

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

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

Positive

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

Positive

"The practice had a fire safety risk assessment which was due to be updated when the building work was signed off as completed."

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

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

Positive

"• Staff received training that included: safeguarding fire safety awareness 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

"• Staff were able to recognise the signs of abuse in older people and knew how to escalate any concerns."

Positive

"Staff had attended domestic abuse awareness training."

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 health and infection control and legionella Legionella is a term for a particular bacterium which can contaminate water systems in buildings."

Positive

"The areas where the provider should make improvement are: • The provider should monitor and ensure that there is an annual infection control audit of the premises."

Positive

"• Risks to patients were assessed and well managed however we found some areas for where action was needed for example completion of a full infection control audit and retention of proof of identity for all staff."

Neutral

"One practice nurse had recently taken on the role of infection control clinical lead."

Neutral

"There was an infection control protocol in place and we saw all staff had received up to date training."

Neutral

"There had not been an overall assessment of infection control measures since the building work had been completed however we saw evidence of control measures in place such as correct sharps bins; personal protective equipment and cleaning protocols for clinical instruments."

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 smoking and alcohol cessation patients were signposted to the relevant service."

Positive

"Patients said they felt the practice offered an excellent 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

"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

"• Its complaint policy and procedures were in line with recognised guidance and contractual obligations for GPs in England."

Neutral

"• We saw that information was available to help patients understand the complaint system on the website and a practice leaflet."

Neutral

"The information from the practice indicated at what stage the complaint was in its resolution."

Neutral

"We found the learning points from each complaint had been recorded and communicated to the team or appropriate action taken."

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

"The practice was aware of the need to have future sustainability and had worked closely with their landlord to develop the premises to offer a wider range and increased volume of services."

Positive

"This was the devised following a recent away day session for all staff and involved service development and sustainability such as the introduction of minor illness clinics."

Positive

"There was evidence of quality improvement including clinical audit."

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."