What is the Quality of Safety at Aspiro Healthcare

Positive

"A notice asked patients to wait behind a line until called forward in order to respect the privacy of patients already talking to reception staff."

Positive

"A chaperone is a person who might be present during a consultation when an intimate examination is taking place to ensure that patients’ rights to privacy are protected."

Positive

"Information about safety was recorded monitored appropriately reviewed and addressed except that medicine safety alerts were not always responded to effectively."

Positive

"Information about safety was recorded monitored appropriately reviewed and addressed."

Positive

"Learning and improvement from safety incidents The practice had a system in place for reporting recording and analysing significant events incidents and accidents a process known as significant event analysis SEA."

Positive

"Reliable safety systems and processes including safeguarding The practice had policies and systems in place to manage and review risks to vulnerable children young people and vulnerable adults."

Positive

"During PLT staff received both internal and external training in subjects which enabled them to carry out their role effectively such as fire safety basic life support and information governance."

Positive

"Furthermore a search of the data from the patient records management system and our discussions with the GPs showed that there was no system in place to identify patients who might be at risk as a result of medicine safety alerts."

Positive

"The practice was consistent over time in its approach to dealing with safety incidents."

Positive

"Monitoring safety and responding to risk We saw that the practice had procedures in place to deal with potential medical emergencies."

Neutral

"This was supported by clear procedures for identifying risks and improving patient safety by escalating significant events and allegations of abuse for further investigation or discussion."

Positive

"Staff knew how to recognise signs of abuse in vulnerable adults and children."

Positive

"Staff we spoke with knew how to recognise signs of abuse in older people vulnerable adults and children."

Neutral

"This was supported by clear procedures for identifying risks and improving patient safety by escalating significant events and allegations of abuse for further investigation or discussion."

Positive

"Cleanliness and infection control We saw that the premises were clean and tidy."

Positive

"They acknowledged that the practice had not yet carried out an infection control selfassessment as recommended by the Department of Health guidance."

Neutral

"The senior nurse was designated as a lead infection control for the practice and was a point of reference for all staff."

Neutral

"Even though an infection control selfassessment had not been carried out the regular check sheets indicated that the practice had a diligent approach to monitoring cleanliness on a daytoday basis."

Neutral

"For example we saw that there as information available on diet smoking cessation alcohol consumption contraception."

Positive

"Everyone we spoke with reported that they were treated with kindness respect and dignity by all the staff at the practice and that they were provided with plenty of information about their care and treatment."

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

"Some of the cards referred to doctors and staff by name singling out individual examples of kindness care and compassion."

Positive

"We saw that carers could also be referred to external carer support organisations that could provide additional practical and emotional support and the practice had a dedicated webpage for this group of patients."

Positive

"We also saw that staff treated patients with kindness and respect and maintained confidentiality."

Positive

"This consent was either implied in respect of most consultations and assessments or was explicitly documented in the case of minor surgical procedures."

Positive

"A notice asked patients to wait behind a line until called forward in order to respect the privacy of patients already talking to reception staff."

Positive

"This group of patients were provided with information about local services providing practical and emotional support and referrals to these services were actively managed by the practice."

Positive

"Tackling inequity and promoting equality The practice had a diverse workforce and had recognised the needs of different groups in the planning of its services."

Positive

"We noted that the practice took action to investigate complaints and discussed patients’ concerns with the relevant staff member to whom the complaint referred."

Positive

"Governance arrangements The practice had a clear governance structure designed to provide assurance to patients and the local clinical commissioning group CCG that the service was operating safely and effectively."

Positive

"There is a fifth nonclinical partner with governance responsibility."

Neutral

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

Positive

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