What is the Quality of Safety at Praze-An-Beeble Surgery

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

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

Neutral

"• There were Improvements to governance processes."

Neutral

"We looked at management and governance arrangements and a sample of records and spoke with four members of staff."

Positive

"Governance arrangements The practice did not have an overarching governance framework which supported the delivery of the strategy and good quality care."

Positive

"How the regulation was not being met: • The practice did not have an overarching governance framework which supported the delivery of the strategy and good quality care."

Positive

"Leadership and culture The partners in the aspired to provide safe high quality and compassionate care but poor governance procedures restricted their ability to provide this."

Positive

"However other governance processes were in place to support the management of the practice."

Neutral

"Issues identified included governance arrangements for; • There was no programme of continuous clinical and internal audit to monitor quality or make improvements making monitoring patient outcomes difficult."

Positive

"This inspection was carried out to review in detail the actions taken by the practice to improve the quality of care and to confirm that the practice was now meeting legal requirements."

Positive

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

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."

Positive

"Lessons learned from individual complaints had been acted on and improvements made to the quality of care as a result."

Positive

"Overall the practice is now rated as Good • There was an open and transparent approach to safety and an effective system in place for reporting and recording significant events."

Neutral

"Overview of safety systems and process The arrangements for managing medicines including emergency medicines in the practice kept people safe including obtaining prescribing recording handling storing security and disposal."

Positive

"Overall the practice is rated as Requires Improvement 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

"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

"We saw evidence that action was taken to improve safety in the practice."

Positive

"Overview of safety systems and processes The practice required improvement with processes and practices in place to keep patients safe which included: • The arrangements for managing medicines including emergency medicines in the practice generally kept people safe including obtaining prescribing recording handling storing security and disposal."

Positive

"• Not all risks had been mitigated to ensure high standards of patient safety and care for this population group."

Positive

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

Positive

"However we saw other systems in place which supported patient safety these included; • Arrangements were in place to safeguard children and vulnerable adults from abuse."

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."

Positive

"When there were unexpected or unintended safety incidents: • The practice gave affected people reasonable support truthful information and a verbal and written apology • The practice kept written records of verbal interactions as well as written correspondence."

Neutral

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

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

"Also after a complaint from a patient following a joint pain relief injection that was not effective the practice ran a list of all patients who had received a joint injection to check for effectiveness."

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

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

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."