What is the Quality of Safety at Woodbank Surgery

Positive

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

Positive

"• From the sample of documented examples we reviewed we found there was an effective system for reporting and recording significant events; lessons were shared to make sure action was taken to improve safety in the practice."

Positive

"For example the practice nurse was responsible for infection control the practice manager was responsible for health and safety and one of the GPs was responsible for safeguarding."

Positive

"• We saw evidence that lessons were shared and action was taken to improve safety in the practice with regard to significant events."

Positive

"The practice had systems for being aware of notifiable safety incidents and sharing the information with staff and ensuring appropriate action was taken."

Positive

"For example electrical equipment had been tested for its safety and staff who acted as chaperones had completed a disclosure and barring scheme check to ensure they were appropriate for the role."

Positive

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

Positive

"After the inspection information was submitted to demonstrate the fire safety risk assessment document that would be used in the future."

Positive

"Overview of safety systems and processes The practice had clearly defined and embedded systems processes and practices in place to minimise risks to patient safety."

Positive

"• The arrangements for managing medicines and vaccines in the practice minimised risks to patient safety including obtaining prescribing recording handling storing security and disposal."

Positive

"• While the practice had clearly defined and embedded systems processes and practices to minimise risks to patient safety we found one medicine was not stored safely."

Positive

"• There was a health and safety policy and checklist available although a risk assessment had not been completed."

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 interviewed knew how to recognise signs of abuse in children young people and adults whose circumstances may make them vulnerable."

Positive

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

Positive

"For example the practice nurse was responsible for infection control the practice manager was responsible for health and safety and one of the GPs was responsible for safeguarding."

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."

Positive

"Kindness dignity respect and compassion During our inspection we observed that members of staff were courteous and very helpful to patients and treated them with dignity and respect."

Positive

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

Positive

"They said that they were treated with respect and staff were always polite."

Positive

"They said that they were always treated with respect and staff were always polite."

Positive

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

Positive

"There was no evidence to demonstrate this complaint was managed through the practice complaint procedure."

Positive

"Complaints received were not always logged and managed through the practice’s complaint procedure."

Positive

"For example the way in which staff managed a verbal complaint about a delayed diagnosis of cancer and that GPs had not recorded the purchase date of a medicine that required specific storage conditions although it was noted that this medicine was stored correctly at the time."

Positive

"This was not logged as a formal complaint therefore there was no recorded evidence of any communication with the complainant."

Positive

"We looked at how one verbal complaint was managed."

Positive

"• An overarching governance framework 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."

Positive

"The medical director and the practice manager gave us an assurance that they were committed to improving the service by making the necessary changes to the leadership management and governance of the practice."

Neutral

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

Positive

"This showed quality improvement in the appropriate use of antibiotics for this purpose."

Positive

"There was evidence of quality improvement including clinical audit: • We looked at the four clinical audits submitted prior to the inspection."

Positive

"The FFT gave every patient the opportunity to feed back on the quality of care they had received."

Positive

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