What is the Quality of Safety at New Addington Group Practice

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

"– Requires Improvement As part of our inspection process we also look at the quality of care for specific population groups."

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

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

Positive

"• The practice acted on and learned from medicines and safety alerts."

Neutral

"We found that: • The practice had clear systems to manage risk so that safety incidents were less likely to happen."

Positive

"Track record on safety The practice had a good safety record."

Positive

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

Positive

"The areas where the practice must make improvements are: • Assess monitor and mitigate the risks relating to the health safety and welfare of service users and others who may be at risk which arise from the carrying on of the regulated activity."

Positive

"• All staff received uptodate safeguarding and safety training appropriate to their role."

Positive

"• There was a strong emphasis on the safety and wellbeing of all staff."

Positive

"How the regulation was not being met: The provider did not assess monitor and mitigate the risks relating to the health safety and welfare of service users and others who may be at risk which arise from the carrying on of the regulated activity."

Positive

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

Positive

"• Practice leaders had established policies procedures and activities to ensure safety and assured themselves that they were operating as intended."

Positive

"Practice leaders had oversight of MHRA alerts incidents and complaints; however some of the clinical staff we spoke to were not aware of recent medicines and safety alerts."

Positive

"• The practice did not have a log to follow up patients who had been referred for suspected cancer safety netting for two week wait referrals."

Positive

"• There were comprehensive risk assessments in relation to safety issues."

Positive

"The provider had undertaken a detailed health and safety risk assessment for each member of staff."

Positive

"• There was a system for receiving and acting on safety alerts."

Positive

"Some of the clinical staff we spoke to were not aware of recent medicines and safety alerts."

Positive

"For example the practice had undertaken clinical audits of use of medicines subject to medicines and safety alerts where improvements were made implemented and monitored."

Positive

"However some of the staff had training updates overdue for training including basic life support fire safety infection control and information governance."

Neutral

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

Neutral

"This helped it to understand risks and gave a clear accurate and current picture that led to safety improvements."

Positive

"The programme supports staff to develop their clinical competencies IT skills ensuring patient safety and implementing robust clinical governance framework."

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."

Positive

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

Positive

"Such multidisciplinary teamworking promoted the safety of their families and children."

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

"The responsibility for health and safety risk assessments was that of the practice quality assurance QA coordinator."

Positive

"As the practice premises was leased the landlords for the building shared the responsibilities for health and safety and building maintenance with the practice."

Positive

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

Positive

"We reviewed staff training records and the staff training matrix and saw that staff mandatory courses included annual basic life support health and safety infection control and safeguarding."

Positive

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

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

"The practice had a health and safety policy."

Positive

"The practice had a quality assurance coordinator whose role included health and safety risk assessment and management."

Positive

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

Positive

"All told us they were satisfied with the care provided by the practice and said their dignity and privacy was respected."

Positive

"Disposable curtains were provided in consulting rooms and treatment rooms so that patients’ privacy and dignity was maintained during examinations investigations and treatments."

Positive

"Staff told us that if they had any concerns or observed any instances of discriminatory behaviour or where patients’ privacy and dignity was not being respected they would raise these with the practice manager."

Neutral

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

Positive

"Staff took steps to protect patients from abuse neglect harassment discrimination and breaches of their dignity and respect."

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

"However some of the staff had training updates overdue for training including basic life support fire safety infection control and information governance."

Positive

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

Positive

"We reviewed staff training records and the staff training matrix and saw that staff mandatory courses included annual basic life support health and safety infection control and safeguarding."

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."

Neutral

"The practice had a lead for infection prevention and 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 they used translation services and sign language interpreters."

Positive

"There was clear signage indicating which reception area was for each service."

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 and promoted patients’ privacy and dignity."

Positive

"• Maintain accurate complete and contemporaneous record in respect of each service user including a record of the care and treatment provided to the service user and decisions taken in relation to the care and treatment provided."

Positive

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

Positive

"The provider did not ensure to maintain accurate complete and contemporaneous record in respect of each service user including a record of the care and treatment provided to the service user and decisions taken in relation to the care and treatment provided."

Positive

"Staff took steps to protect patients from abuse neglect harassment discrimination and breaches of their dignity and respect."

Positive

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

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

"The evidence from the GP patient survey showed patients were satisfied with how they were treated and that this was with compassion dignity and respect."

Positive

"Patientcarer support to cope emotionally with care and treatment The patient survey information we reviewed showed patients were positive about the emotional support provided by the practice and rated it well in this area."

Positive

"All told us they were satisfied with the care provided by the practice and said their dignity and privacy was respected."

Positive

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

Positive

"They said staff treated them with dignity and respect."

Positive

"Disposable curtains were provided in consulting rooms and treatment rooms so that patients’ privacy and dignity was maintained during examinations investigations and treatments."

Positive

"Staff told us that if they had any concerns or observed any instances of discriminatory behaviour or where patients’ privacy and dignity was not being respected they would raise these with the practice manager."

Neutral

"• Staff had received equality and diversity training."

Positive

"We were shown the electronic staff handbook that was available to all staff which included sections on equality and harassment and bullying at work."

Positive

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

Positive

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

Positive

"• Information about how to make a complaint or raise concerns was available and it was easy to do."

Positive

"None of the patients we spoke with had ever needed to make a complaint about the practice."

Positive

"Governance arrangements There were clear responsibilities roles and systems of accountability to support good governance and management; however it required further improvement."

Positive

"• Structures processes and systems to support good governance and management were clearly set out; however it was not effective in some areas."

Positive

"• The governance and management of partnerships joint working arrangements and shared services promoted personcentred care."

Positive

"The programme supports staff to develop their clinical competencies IT skills ensuring patient safety and implementing robust clinical governance framework."

Neutral

"The practice held monthly governance meetings."

Positive

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

Positive

"The health visitor child protection lead was contacted to supply the practice with an up to date list of children at risk to use in updating the records."

Positive

"The practice staff team were six GPs three of whom were female; an allfemale nursing team of two nurses and two healthcare assistants and an administrative team which included a practice manager a quality assurance coordinator and four reception and administrative staff members."

Positive

"During our visit we spoke with a range of staff GPs nurses healthcare assistants practice manager quality assurance coordinator and reception and admin staff and spoke with patients who used the service."

Positive

"The responsibility for health and safety risk assessments was that of the practice quality assurance QA coordinator."

Positive

"The practice had a quality assurance coordinator whose role included health and safety risk assessment and management."