What is the Quality of Safety at Lakeside Healthcare Partnership

Positive

"All staff were fully trained on the system and commented positively about the system’s safety and ease of use."

Positive

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

Positive

"Monitoring safety and responding to risk The practice had systems processes and policies in place to manage and monitor risks to patients staff and visitors to the practice."

Positive

"Learning and improvement from safety incidents The practice had a system in place for reporting recording and monitoring significant events incidents and accidents."

Positive

"Health and safety information was displayed for staff to see and there was an identified health and safety representative."

Positive

"For example reported incidents and national patient safety alerts as well as comments and complaints received from patients."

Positive

"We reviewed safety records incident reports and minutes of meetings where these were discussed for the last two years."

Positive

"National patient safety alerts were disseminated by the practice manager to practice staff."

Positive

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

Positive

"We did not see any risk assessments that ensured the safety security and confidentiality of the archived records."

Positive

"After our inspection the practice manager confirmed in writing that a documented system had been introduced within all three branches that assured the safety of blank prescription forms in accordance with national guidance."

Positive

"The practice also had a health and safety policy."

Positive

"The GPs told us clinical audits were often linked to medicines management information safety alerts or as a result of information from the QOF."

Positive

"The training matrix which documented the training of all staff showed that staff had been trained in core subjects such as infection control safeguarding children and vulnerable adults health and safety and manual handling and specialised subjects such as asthma and diabetes."

Neutral

"For example staff told us about a situation based exercise which happened as a response to a recent safety alert related to taking precautions against the Ebola virus."

Positive

"We rated the practice as good for providing caring services because: • Staff dealt with patients with kindness and respect and involved them in decisions about their care."

Positive

"Patients said they were treated with compassion dignity and respect and they were involved in decisions about their care and treatment."

Positive

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

Positive

"All of them expressed satisfaction with the service they had received and told us that staff had treated them with dignity and respect."

Positive

"We noted all treatment and consulting rooms had privacy curtains installed to ensure the patients dignity and privacy was maintained during examinations investigations and treatments."

Positive

"We rated the practice as requires improvement for providing wellled services because: • There were not always clear responsibilities roles and systems of accountability to support good governance and management."

Positive

"The areas where the provider must make improvements are: • Establish effective systems and processes to ensure good governance in accordance with the fundamental standards of care."

Neutral

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

Neutral

"The practice held monthly governance meetings."

Positive

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

Positive

"Our judgement of the quality of care at this service is based on a combination of what we found when we inspected information from our ongoing monitoring of data about services and information from the provider patients the public and other organisations."

Positive

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

Positive

"We noted all treatment and consulting rooms had privacy curtains installed to ensure the patients dignity and privacy was maintained during examinations investigations and treatments."

Neutral

"Staff and patients told us that all consultations and treatments were carried out in the privacy of a consulting room."

Positive

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

Positive

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

Positive

"Cleanliness and infection control We observed the premises to be clean and tidy."

Positive

"We reviewed a number of policies for example their recruitment policy infection control and medicines management which were in place to support staff."

Positive

"An infection control policy and supporting procedures were available for staff to refer to which enabled them to plan and implement measures to control infection."

Positive

"The training matrix which documented the training of all staff showed that staff had been trained in core subjects such as infection control safeguarding children and vulnerable adults health and safety and manual handling and specialised subjects such as asthma and diabetes."

Neutral

"The practice had a lead for infection control who had undertaken further training to enable them to provide advice on the practice infection control policy and carry out staff training."

Neutral

"All staff received induction training about infection control specific to their role and received annual updates."

Neutral

"For example personal protective equipment including disposable gloves aprons and coverings were available for staff to use and staff were able to describe how they would use these to comply with the practice’s infection control policy."

Neutral

"For example there was a lead nurse for infection control and a lead GP for safeguarding."

Positive

"We also saw that the practice team had regular weekly meetings with the health visitor midwife school nurse and the social worker to discuss ongoing safeguarding issues and agree plans for keeping patients safe."

Positive

"Staff we spoke with had a good understanding of equality and diversity."

Positive

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

Positive

"We looked at the practices summary of complaints for the last complete year and noted that the practice had investigated analysed and communicated the outcome of each complaint in a timely manner to all parties."

Positive

"Patients knew they could make a complaint in person over the telephone in writing or via the practice website."

Positive

"These were quality improvement processes that aimed to improve patient care and outcomes through the systematic review of patient care and the implementation of change."