What is the Quality of Safety at Attenborough Surgery

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

"Whether completed by the practice or the property management service for Bushey Health Centre’s fire and Legionella assessments up to date health and safety and fire risk assessments were available for all four surgeries."

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

Positive

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

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: • There were adequate arrangements in place to safeguard children and vulnerable adults from abuse."

Positive

"• When there were unexpected safety incidents patients received reasonable support and truthful information."

Positive

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

Positive

"When there were unexpected safety incidents: • The practice gave affected people reasonable support and truthful information."

Positive

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

Positive

"We also looked at how the practice responded to Medicines and Healthcare products Regulatory Agency MHRA and patient safety alerts."

Positive

"• Most staff had received training that included: safeguarding fire safety infection control and basic life support."

Positive

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

Neutral

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

Positive

"• The advanced nurse practitioner was the infection control lead."

Positive

"Whilst some nonclinical staff were overdue completing infection control training the practice had a schedule in place to ensure this was completed."

Positive

"• Most staff had received training that included: safeguarding fire safety infection control and basic life support."

Neutral

"We saw that the practice’s own infection control audits had highlighted this issue and a plan of action was in place to respond to this."

Neutral

"Despite this all of the staff we spoke with were knowledgeable about infection control processes relevant to their roles."

Positive

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

Positive

"Lessons were learnt from concerns and complaints and action was taken as a result to improve the quality of care or patient experience."

Positive

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

Positive

"They told us that their privacy and dignity was respected and they were involved in their care and decisions about their treatment."

Positive

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

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: • There were adequate arrangements in place to safeguard children and vulnerable adults from abuse."

Positive

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

Positive

"The patients we spoke with said they felt the practice offered a good service and staff were courteous efficient supportive and professional and treated them with dignity and respect."

Positive

"• Patients said they were treated with compassion dignity and respect and they were involved in decisions about their care and treatment."

Positive

"Patients said they felt staff were courteous efficient supportive and professional and treated them with dignity and respect."

Positive

"They told us that their privacy and dignity was respected and they were involved in their care and decisions about their treatment."

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

"For example following a complaint about a breach of patient confidentiality the practice reviewed and reinforced its processes and procedures including its induction programme for new staff and the provision of information governance training for all staff."

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."

Positive

"For example following a complaint about a breach of patient confidentiality the practice reviewed and reinforced its processes and procedures including its induction programme for new staff and the provision of information governance training for all staff."

Positive

"All of the staff we spoke with were clear on the governance structure in place."

Neutral

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