What is the Quality of Safety at The Hadleigh Practice

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 knowing about notifiable safety incidents and ensured this information was shared with staff to ensure appropriate action was taken."

Positive

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

Positive

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

Positive

"When there were unintended or unexpected safety incidents patients received reasonable support truthful information a verbal and written apology and were told about any actions to improve processes to prevent the same thing happening again."

Positive

"• When there were unintended or unexpected safety incidents patients received reasonable support truthful information a verbal and written apology."

Positive

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

Positive

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

Positive

"For example in basic life support infection prevention control fire safety and safeguarding."

Positive

"Overview of safety systems and processes The practice had systems processes and practices in place to keep patients safe and safeguarded from abuse; however improvements were needed in some areas."

Positive

"The practice had systems in place for knowing about notifiable safety incidents."

Positive

"When there were unexpected or unintended safety incidents: • The practice gave affected patients reasonable support truthful information and a verbal and written apology."

Positive

"Systems did not assess monitor or mitigate risks related to health safety and welfare of service users."

Neutral

"• The practice had systems in place to ensure the safety of patients taking repeat medicines and high risk medicines."

Neutral

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

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 nurse was the infection control clinical lead who liaised with the local infection prevention teams to keep up to date with best practice."

Positive

"This poses an infection control risk for patients and staff."

Positive

"• Not all staff had received training required for their role such as in infection control child safeguarding and basic life support."

Positive

"• Ensure recommendations from infection control audits are implemented."

Positive

"For example not all staff had the required training; and matters related to medicines management as well as infection control had not ways been addressed."

Positive

"• Monthly checks of the practice for infection control risks were also conducted however these were not always Are services safe?"

Neutral

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

Neutral

"• Annual infection control audits were undertaken and the lead nurse carried out additional audits to check the practice of clinical staff and make improvements where necessary."

Positive

"• These included patients carers those at risk of developing a longterm condition and those requiring advice on their diet smoking and alcohol cessation."

Positive

"• Personal staff information was not kept lockedit was held in a room accessible to the public and although there was a sign on the door advised that the door should be kept closed at all times we observed the door to be open at times."

Neutral

"A sign was used at reception to ask patients to stand back."

Positive

"The practice carried out an annual review of complaints to identify any complaint themes areas for improvement."

Positive

"The complaint highlighted a training issue for reception staff."

Positive

"• The overarching governance framework which supported the delivery of the strategy and good quality care was not always effective."

Positive

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

Positive

"• The practice had governance arrangements in place which promoted quality and safety; however these were not consistently followed through."

Positive

"• Ensure that governance systems are robust."

Positive

"However not all governance arrangements had been effective."

Neutral

"• The practice had a number of policies and procedures to govern activity and held regular governance meetings however the policies and procedures were not monitored to see if always followed."

Positive

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

Positive

"They also told us they were 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."

Positive

"However curtains in one treatment room were not always used to protect patients’ privacy during procedures."

Positive

"• Policies were in place to safeguard children and vulnerable adults from abuse that reflected relevant legislation."

Positive

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

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

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

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."

Positive

"• Review the use of curtains in consulting and treatment rooms to ensure patient dignity is protected at all times."

Positive

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