Latest Snippet(s)
Positive
"• We found that not all staff had completed mandatory training for example fire safety and infection control."
Positive
"• We found that not all staff had completed mandatory training namely fire safety and infection control."
Neutral
"Overview of safety systems and process The practice had defined and embedded systems processes and practices in place to minimise risks to patient safety."
2016-04-20 Snippet(s)
Positive
"The practice had a variety of other risk assessments in place to monitor safety of the premises such as control of substances hazardous to health and legionella Legionella is a term for a particular bacterium which can contaminate water systems in buildings."
Positive
"Lessons from significant events were shared to make sure action was taken to improve safety in the practice."
Positive
"Our key findings across all the areas we inspected were as follows: • There was an open and transparent approach to safety and an effective system in place for reporting and recording significant events."
Positive
"• Lessons were shared to make sure action was taken to improve safety in the practice however annual calibration testing of clinical equipment was not carried out."
Positive
"• There were no formal systems in place for knowing about notifiable safety incidents and ensured this information was shared with staff to ensure appropriate action was taken."
Positive
"When there were unintended or unexpected safety incidents patients received reasonable support truthful information a verbal and written apology and were told about any actions to improve processes to prevent the same thing happening again."
Positive
"• When there were unintended or unexpected safety incidents patients received reasonable support truthful information a verbal and written apology."
Positive
"• We did not see evidence of safety records or patient safety alerts being formally discussed."
Positive
"There was a health and safety policy available to staff which identified local health and safety representatives."
Positive
"However the systems for sharing safety alerts were not effective."
Positive
"When there were unexpected or unintended safety incidents: • The practice gave affected people reasonable support truthful information and a verbal and written apology."
Neutral
"It covered such topics as safeguarding infection prevention and control fire safety health and safety and confidentiality."
Latest Snippet(s)
Positive
"In addition the practice could not evidence that staff had completed appropriate training to enable them to carry out duties they performed and they did not conduct annual infection control audits or carry out annual calibration tests of medical equipment used to provide care."
Positive
"• The practice nurse was the lead for infection control and was supported by the lead GP."
Positive
"At this inspection we found these issues had been satisfactorily addressed with the exception of infection control training and fire safety."
Neutral
"In addition the practice did not provide us with evidence to demonstrate that medical equipment had been calibrated and annual internal infection control audits were carried out."
Neutral
"• Annual internal infection control audits were implemented."
Neutral
"The lead GP as well as both practice managers on the day articulated and demonstrated they understood infection control as well as commonly used abbreviated terminologies such as personal protective equipment PPE."
2016-04-20 Snippet(s)
Positive
"• Ensure that calibration tests are carried out annually for all medical equipment • Ensure infection control audits are carried out annually by trained staff."
Positive
"• The practice was clean and tidy however there was a lack of systems policies and processes to address infection control risks."
Positive
"Staff we spoke with were unable to demonstrate a working knowledge of infection control and could not explain common abbreviations such as PPE Personal protective equipment however had reported in the audit that they had this equipment."
Positive
"The provider did not conduct annual infection control audits or carry out annual calibration tests of medical equipment used to provide care."
Neutral
"The practice nurse was the infection control clinical lead."
Neutral
"The staff that carried out the audits did not have up to date infection control training."
Latest Snippet(s)
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."
2016-04-20 Snippet(s)
Positive
"This report describes our judgement of the quality of care at this service."
2016-04-20 Snippet(s)
Positive
"They also told us they were satisfied with the care provided by the practice and said their dignity and privacy was respected."
Positive
"• Curtains were provided in consulting rooms to maintain patients’ privacy and dignity during examinations investigations and treatments."
Positive
"They did comment about the lack of privacy in the waiting area but believed that if they needed to speak in private then the reception team would offer them a room to speak in private."
2016-04-20 Snippet(s)
Positive
"• Staff knew how to recognise signs of abuse in vulnerable adults and children."
2016-04-20 Snippet(s)
Neutral
"For example the PPG suggested that the practice put a sign outside the surgery informing patients and visitors of surgery opening and closing times."
2016-04-20 Snippet(s)
Positive
"Patients said they felt the practice offered an excellent service and staff were helpful caring and treated them with dignity and respect."
Positive
"• Patients said they were treated with compassion dignity and respect and they were involved in their care and decisions about their treatment."
Positive
"They also told us they were satisfied with the care provided by the practice and said their dignity and privacy was respected."
Positive
"Results from the national GP patient survey showed patients felt they were treated with compassion dignity and respect."
Positive
"• We saw staff treated patients with kindness and respect and maintained patient and information confidentiality."
Positive
"We spoke with six patients who all said they felt all the staff at the surgery treated them with respect and compassion."
Positive
"• Curtains were provided in consulting rooms to maintain patients’ privacy and dignity during examinations investigations and treatments."
2016-04-20 Snippet(s)
Positive
"For example we saw evidence of a patient complaint regarding long waiting times to see a GP and nurse when having postnatal checks."
2016-04-20 Snippet(s)
Positive
"They had some governance which supported the delivery of the strategy and good quality care."
Neutral
"Governance arrangements The practice did not have an overarching governance framework."