What is the Quality of Safety at Crewkerne Health Centre

Positive

"For example safeguarding training fire safety training and infection prevention and control."

Positive

"Track record on safety The practice had information to show that generally they had a good track record on safety."

Positive

"The practice learned and shared lessons identified themes and took action to improve safety in the practice."

Positive

"Additional training and support was needed at practice and provider level to ensure health and safety monitoring was carried out by trained and knowledgeable persons."

Positive

"Areas across both locations such as prescription paper management health and safety and the management of patients with longterm conditions and mental health needs to be improved and sustained."

Positive

"However there were gaps in information for some aspects of safety which may have compromised patient and staff safety."

Positive

"• The practice acted on and learned from external safety events as well as patient and medicine safety alerts."

Positive

"• The provider had implemented a portfolio of new and updated corporate policies procedures and activities to ensure safety and assure themselves that they were operating as intended."

Positive

"In particular:The provider must have safe systems in place for fire safety training for persons undertaking risk assessments infection control and chemicals stored and used at the practice."

Positive

"At this inspection we found: • The practice had systems to manage risk so that safety incidents were less likely to happen."

Positive

"• Ensure there are safe systems in place for fire safety checks for safe equipment safeguarding training and training for persons undertaking health and safety audits and risk assessments for infection prevention and control and for chemicals used by the practice."

Positive

"This was because: There was a potential for the safety of patients and staff to be compromised."

Positive

"The practice monitored and reviewed safety using information from a range of sources."

Positive

"• The provider had carried out regular audits for health and safety however there was no trained health and safety staff lead at the practice or within the organisation."

Positive

"However in other aspects such as recruitment obtaining information regarding staff immunisations and training health and safety fire and management of the location these were still being formalised."

Positive

"The provider had set up a focussed quality monitoring system at practice and provider level for monthly reporting on key areas which included safety alerts incidents and complaints."

Positive

"This was because of the gaps in the training for some staff for safeguarding and that there were incomplete systems for infection control and managing clinical waste."

Positive

"In particular:The provider must have safe systems in place for fire safety training for persons undertaking risk assessments infection control and chemicals stored and used at the practice."

Positive

"• Staff dealt with patients with kindness and respect and involved them in decisions about their care."

Positive

"Kindness respect and compassion Staff treated patients with kindness respect and compassion."

Positive

"• Staff involved and treated patients with compassion kindness dignity and respect."

Positive

"Privacy and dignity The practice respected patients’ privacy and dignity."

Positive

"• Staff recognised the importance of people’s dignity and respect."

Positive

"• Staff were clear on their roles and accountabilities including in respect of safeguarding and infection prevention and control."

Positive

"• Staff took steps including working with other agencies to protect patients from abuse neglect discrimination and breaches of their dignity and respect."

Neutral

"There were gaps at both practices regarding clinical coding so that accurate information; in respect of monitoring of regular reviews for patients with long term conditions learning disabilities and mental health; were not accurate."

Positive

"• Establish effective systems and processes to ensure good governance in accordance with the fundamental standards of care."

Positive

"• The governance and management of joint working arrangements across the provider organisation and with the local area shared services such as the complex care team promoted coordinated personcentred care."

Positive

"The provider had implemented new areas of governance and assessment of the quality of the services provided such as oversight audit and support although it was too early to show that this was effective."

Positive

"SHS told us they were in the process of establishing and providing administration and governance to support the day to day running of the practice including HR maintenance finance and quality assurance processes."

Neutral

"• There were new policies and procedures and a system of governance which needed to have time to be fully implemented and embedded."

Positive

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

Positive

"We based our judgement of the quality of care at this service 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

"• Clinical audit had a positive impact on quality of care and outcomes for patients."

Positive

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

Positive

"• The provider considered and understood the impact on the quality of care of service changes or developments."

Positive

"Privacy and dignity The practice respected patients’ privacy and dignity."

Positive

"• Staff took steps including working with other agencies to protect patients from abuse neglect discrimination and breaches of their dignity and respect."

Positive

"• The practice actively promoted equality and diversity."

Neutral

"Staff had received equality and diversity training."

Positive

"• Information about how to make a complaint or raise concerns was available."

Positive

"• The complaint policy and procedures were in line with recognised guidance."

Positive

"• Quality and sustainability were discussed in relevant meetings where all staff had sufficient access to information."

Positive

"SHS told us they were in the process of establishing and providing administration and governance to support the day to day running of the practice including HR maintenance finance and quality assurance processes."

Positive

"Monitoring care and treatment The practice had a programme of quality improvement activity and routinely reviewed the effectiveness and appropriateness of some aspects of the care provided."

Positive

"The practice used an alternative quality improvement scheme implemented by Somerset Clinical Commissioning Group the Somerset Practice Quality Scheme SPQS which currently did not provide comparative data."

Positive

"This programme of quality improvement was in the process of being implemented for the patients of West One Surgery."

Positive

"The provider had set up a focussed quality monitoring system at practice and provider level for monthly reporting on key areas which included safety alerts incidents and complaints."