What is the Quality of Safety at The Royal Well Surgery

Positive

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

Positive

"They also told us they were satisfied with the care provided by the practice and said their dignity and privacy was respected."

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."

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

"• The practice carried out a thorough analysis of the significant events We reviewed safety records incident reports national patient safety alerts and minutes of meetings where these were discussed."

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 safety incidents patients received reasonable support truthful information a verbal and written apology."

Positive

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

Positive

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

Positive

"When there were unexpected or unintended safety incidents: • The practice gave affected patients reasonable support truthful information and a verbal and written apology."

Neutral

"This 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 practice nurse was the infection control clinical 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 however we did not see evidence that action was taken to address improvements identified as a result for example the audit identified that all fabric covered waiting room chairs should be changed."

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

"They also told us they were satisfied with the care provided by the practice and said their dignity and privacy was respected."

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

"For example on the day of our inspection a PPG member informed us that they had raised a complaint in the practice relating to the prescription storage a new box had been purchased and the practice were unable to locate her prescription due to the box being so big."

Positive

"The practice listened to the complaint apologised and reinstated the previous storage method."

Positive

"• The complaint policy and procedures were in line with recognised guidance and contractual obligations for GPs in England."

Positive

"• We saw information was available to help patients understand the complaints system and there was a poster and complaint forms in the waiting area details were also on the practice website."

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

"• Staff received training including: safeguarding fire procedures basic life support and information governance awareness."