What is the Quality of Safety at Frimley Park Hospital

Positive

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

Positive

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

Positive

"The service had systems in place for notifiable safety incidents and ensured this information was shared with staff to ensure appropriate action was taken."

Positive

"Overview of safety systems and processes The service had clearly defined and embedded systems processes and services 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 service had failed to demonstrate the proper and safe management of medicines including monitoring stock levels appropriately to ensure the safety of service users and to meet their needs and had not ensured that sharps safes were labelled and used appropriately."

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 recording reporting and learning from significant events."

Positive

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

Positive

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

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

"It was accessible to all staff and identified local health and safety representatives."

Positive

"• There were systems in place to ensure the safety of the out of hours vehicles."

Positive

"A system was developed for rating service activity to identify areas where there was a risk to the health and safety of patients and the implementation of an appropriate escalation plan where demand increased."

Positive

"There was a health and safety policy available with a poster in the service office at Frimley Park Hospital."

Positive

"These checks included general safety checks on the car and equipment checks."

Positive

"We checked the vehicles and found that they had for example oxygen a defibrillator and pads personal protective equipment such as gloves and masks laptops medicines reference books safety and guidance protocols."

Positive

"• Staff received training that included: safeguarding fire safety awareness basic life support conflict resolution equality and diversity; moving and handling and information governance."

Neutral

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

Positive

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

Neutral

"There was an infection control lead."

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 identified as a result."

Positive

"Patients said they felt the service offered an excellent efficient and friendly 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

"• 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

"• Staff received training that included: safeguarding fire safety awareness basic life support conflict resolution equality and diversity; moving and handling and information governance."

Positive

"• Staff were made aware if a complaint was made against them and were involved in the response to the complaint."

Positive

"The complaint had been considered by the service and the GP had sent the patient and their family a letter of explanation and apology."

Positive

"For example a complaint was made that a clinician had not really listened to them and addressed their concerns."

Positive

"The complaint was anonymised and shared in the clinical governance Are services responsive to people’s needs?"

Positive

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

Positive

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

Positive

"• Complaints responses were discussed by the management team at monthly operations meetings and clinical governance meetings."

Positive

"The complaint was anonymised and shared in the clinical governance Are services responsive to people’s needs?"

Neutral

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

Neutral

"Themes were generated from the panel meetings and included in a clinical governance newsletter."

Neutral

"The panel produced a clinical governance review plan and included a continuing rolling action plan."

Neutral

"Learning was disseminated via a clinical governance newsletter."

Neutral

"This included a clinical governance newsletter; a safeguarding update newsletter; and regular staff meetings."

Positive

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