What is the Quality of Safety at Springfield Medical Practice

Neutral

"For example: • Those patients with a long term condition who required advice on their diet were directed to the relevant services."

Positive

"This inspection was carried out to review in detail the actions taken by the practice to improve the quality of care and to confirm that the practice was now meeting legal requirements."

Positive

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

Positive

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

Positive

"• A programme of continuous clinical and internal audit was undertaken and we saw examples of improvements made to the quality of care as a result."

Positive

"• The practice had introduced an appropriate system for monitoring patient safety alerts and ensuring they had been appropriately actioned."

Positive

"• There was a system for responding to safety alerts and we saw evidence that recent alerts had been actioned."

Positive

"• Monitoring responses to patient safety alerts."

Positive

"Overview of safety systems and processes The follow up inspection showed that improvements had been made: • The practice had a number of patients who were prescribed high risk medicines such as warfarin a blood thinning medicine and diseasemodifying antirheumatic drugs DMARDs."

Positive

"Overview of safety systems and processes The practice had clearly defined and embedded systems processes and practices in place to keep patients safe and safeguarded from abuse which included: • The practice had implemented measures to safeguard children and vulnerable adults from abuse."

Positive

"• Keep the recently implemented systems for monitoring patients prescribed diseasemodifying antirheumatic drugs and monitoring responses to safety alerts under review to ensure they are working effectively."

Positive

"Improvements were needed to ensure that responses and action taken in response to safety alerts were monitored."

Positive

"This covered the practice’s mandatory topics such as infection control fire safety and confidentiality."

Positive

"There was a system for dealing with safety alerts and we saw evidence that recent alerts had been actioned."

Positive

"• There was a system for responding to safety alerts and we saw evidence that recent alerts had been actioned."

Positive

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

Positive

"• The practice received patient safety alerts issued by external agencies such as the Medicines and Healthcare products Regulatory Agency MHRA."

Positive

"• Staff also received training that included fire safety awareness and information governance."

Positive

"There was a system for responding to patient safety alerts."

Positive

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

Neutral

"There was a health and safety risk assessment available to all staff with information which identified local health and safety representatives."

Neutral

"This included training for basic life support BLS safeguarding for children and vulnerable adults moving and handling and equality diversity and human rights EDHR."

Neutral

"Not all staff had received training for basic life support BLS safeguarding for children and vulnerable adults moving and handling and equality diversity and human rights EDHR."

Positive

"Three members of nonclinical staff had not completed basic life support training seven had not completed manual handling and five had not completed equality and diversity."

Positive

"• Consulting rooms had curtains to maintain privacy and dignity during patient examinations and treatments."

Positive

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

Positive

"Overview of safety systems and processes The practice had clearly defined and embedded systems processes and practices in place to keep patients safe and safeguarded from abuse which included: • The practice had implemented measures to safeguard children and vulnerable adults from abuse."

Positive

"• The practice had a variety of other risk assessments in place to monitor the premises such as control of substances hazardous to health and infection control and Legionella."

Positive

"There was an infection control clinical lead who liaised with the local infection prevention teams to keep up to date with best practice."

Positive

"This covered the practice’s mandatory topics such as infection control fire safety and confidentiality."

Neutral

"Staff received infection control training as part of their initial induction."

Neutral

"Annual infection control audits were undertaken."

Neutral

"The lead GP for safeguarding held quarterly safeguarding meetings with the local health visitor and midwife."

Neutral

"The lead GP held quarterly safeguarding meetings with the local health visitor and midwife and provided reports for other agencies when needed."

Neutral

"For example translation and sign language services were available for patients who did not speak English as a first language."

Positive

"Patients were satisfied with standards of cleanliness in the practice and felt that clinical staff treated them with respect and explained tests and treatments to them."

Positive

"Patients felt that clinical staff treated them with respect and explained tests and treatments to them and confirmed that they had a choice of female GP."

Positive

"• Consulting rooms had curtains to maintain privacy and dignity during patient examinations and treatments."

Positive

"• A complaints poster and leaflets about how to make a complaint were available in the waiting area to help patients understand the system."

Positive

"For example a complaint found that a test result requiring treatment had not been followed up by clinical staff."

Positive

"Governance arrangements A governance framework was in place and this supported the delivery of good quality care."

Positive

"• A governance framework was in place and this supported the delivery of good quality care including arrangements to identify and manage risk."

Positive

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