What is the Quality of Safety at Practice Plus Group - North East Essex

Positive

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

Positive

"• There was an effective system in place for recording reporting and learning from significant events • Lessons were shared to make sure action was taken to improve safety in the service."

Positive

"The service 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 are bacteria which can contaminate water systems in buildings."

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

"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

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

Positive

"There was a health and safety policy available with a poster in areas accessible to all staff that identified local health and safety representatives."

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

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

Positive

"• Staff received training that included: safeguarding fire safety awareness basic life support and information governance."

Neutral

"This covered topics including 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."

Positive

"The service 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 are bacteria which can contaminate water systems in buildings."

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

"There was a laminated sign to show new drivers what certain equipment looked like to aid understanding."

Positive

"Patients said they felt the service offered a good 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

"All clinicians received written feedback with respect to their audit results at least every three months."

Positive

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

Positive

"• There were arrangements in place to cover equality and diversity issues and there were policies to support staff in understanding and meeting the needs of patients who may require extra support."

Positive

"Every three months the figures were sent to the national governance lead and details of the complaint including the clinician involved were logged."

Positive

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

Positive

"The aim was to ensure they were working together effectively to respond to local health inequalities and ensure services were accountable and supported by strong governance processes."

Positive

"Every three months the figures were sent to the national governance lead and details of the complaint including the clinician involved were logged."

Positive

"Locally day to day management of the service rested with the service manager together with the local medical nursing quality audit and governance leads."

Positive

"They were clear about their line management arrangements as well as the clinical governance arrangements in place."

Neutral

"• All alerts were emailed to the service manager and governance lead and disseminated to relevant parties."

Positive

"Alerts were also discussed at monthly minuted quality assurance QA meetings added to a QA register and actioned as appropriate."

Positive

"• Training needs were monitored monthly by the local quality assurance group and formed part of their report to the provider’s senior management team."

Neutral

"All complaints were discussed at monthly quality assurance meetings."

Positive

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

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."