What is the Quality of Safety at Cherry Hinton & Brookfields Medical Practice

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 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 • The practice proactively sought feedback from staff and patients which it acted on."

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 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 records of meetings where these were discussed."

Positive

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

Positive

"The practice had systems in place for knowing about notifiable safety incidents When there were unexpected or unintended safety incidents: • The practice gave affected people reasonable support truthful information and a verbal and written apology • They kept written records of verbal interactions as well as written correspondence."

Neutral

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

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 areas where the provider should make improvement are: • Ensure that actions required from infection control audits are recorded and the actions required are undertaken and reviewed."

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

"Action the service SHOULD take to improve • Ensure that actions required from infection control audits are recorded and the actions required are undertaken and reviewed."

Neutral

"There was an infection control protocol in place however not all staff had received training."

Neutral

"Annual infection control audits were undertaken; however these did not identify any actions required as a result of the audit."

Neutral

"There was an infection control protocol in place."

Neutral

"Following our inspection the practice were able to evidence that all nursing staff had undertaken infection control training."

Positive

"Patients said they felt the practice offered a good service and staff were generally helpful caring and treated them with dignity and respect."

Positive

"Patients said they felt the practice offered a good service and staff were helpful caring and treated them with dignity and respect."

Positive

"• Patients said they were generally 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

"• The practice had a mission statement to ensure patients could expect to be treated with honesty and dignity in a relationship based on mutual respect and confidentiality and staff were aware and understood the values."

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

"Information about how to make a complaint was also displayed in the practice leaflet."

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."

Neutral

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

Neutral

"However the practice were able to confirm that all staff would receive a timely review • Staff received training that included: safeguarding fire procedures basic life support and information governance awareness."

Positive

"Clinical audits were carried out to demonstrate quality improvement and all relevant staff were involved to improve care and treatment and people’s outcomes."