Safety

Privacy

Latest Snippet(s)

Positive

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

2017-03-31 Snippet(s)

Positive

"• Curtains were provided in consulting rooms to maintain patients’ privacy and dignity during examinations investigations and treatments."

Safety

Latest Snippet(s)

Positive

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

Positive

"For example they would do dressings for patients but would then ring the patient’s own GP practice to provide followup care; dental patients were given safety advice and then redirected to the appropriate service."

Positive

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

Positive

"• The service had an effective mechanism in place to disseminate safety alerts to all members of the team including agency staff."

Positive

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

Positive

"• The service had good systems to manage risk so that safety incidents were less likely to happen."

Positive

"It had safety policies including health & safety policies which were regularly reviewed and communicated to staff."

Positive

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

Positive

"• The provider conducted safety risk assessments."

Positive

"Staff received safety information from the provider as part of their induction and refresher training."

Positive

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

Positive

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

Positive

"• The service had a system in place that alerted staff to any specific safety or clinical needs of a person using the service."

Neutral

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

2017-03-31 Snippet(s)

Positive

"The service had systems in place for notifiable safety incidents and ensured this information was shared with staff to ensure appropriate action was taken • The service proactively sought feedback from staff and patients which it acted on."

Positive

"Overview of safety systems and processes The service had clearly defined and embedded systems processes and services in place to keep patients safe and safeguarded from abuse which included: Arrangements were in place to safeguard children and vulnerable adults from abuse."

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 recording reporting and learning from significant events."

Positive

"We saw evidence that lessons were shared and action was taken to improve safety in the service."

Positive

"The centre had a variety of other risk assessments in place to monitor safety of the premises such as legionella this is a term for a bacterium which can contaminate water systems in buildings."

Positive

"We reviewed incident reports patient safety alerts and minutes of meetings where these were discussed."

Positive

"• There were arrangements in place to respond to patient safety alerts."

Positive

"• We saw evidence that staff received training that included: safeguarding fire safety basic life support and information governance."

Positive

"This included training for all staff on communicating with patients about notifiable safety incidents."

Neutral

"These covered areas such health and safety IT fire safety infection control and confidentiality."

Abuse

Latest Snippet(s)

Positive

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

Positive

"• The provider had systems to safeguard children and vulnerable adults from abuse and neglect and worked with other agencies to support and protect patients."

2017-03-31 Snippet(s)

Positive

"Overview of safety systems and processes The service had clearly defined and embedded systems processes and services in place to keep patients safe and safeguarded from abuse which included: Arrangements were in place to safeguard children and vulnerable adults from abuse."

Control of Infection

Latest Snippet(s)

Positive

"We observed that some chairs within the waiting area had some tears in the material which could pose an infection control concern."

2017-03-31 Snippet(s)

Neutral

"A senior nurse was the lead for infection control within the centre."

Neutral

"There were infection control protocols and policies in place and staff had received up to date training."

Neutral

"This was identified in a recent infection control audit as an action that required attention."

Neutral

"These covered areas such health and safety IT fire safety infection control and confidentiality."

Diet

Support

Latest Snippet(s)

Positive

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

Positive

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

Positive

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

Positive

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

Positive

"• There was proactive use of chaperones and we heard how a chaperone was offered to a female patient to respect their cultural needs."

Positive

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

Positive

"At the time of our inspection the question raised was “Do you feel treated with dignity during your consultation?”"

2017-03-31 Snippet(s)

Positive

"Patients said they felt the service 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

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

Positive

"• We saw staff treated patients with kindness and respect and maintained patient information confidentiality."

Positive

"The service followed clearly agreed responsibilities in respect of the transmission of patient data."

Positive

"Patients also told us that they had been treated with care and respect and that GPs and nurses gave them enough time during the consultation."

Positive

"• Curtains were provided in consulting rooms to maintain patients’ privacy and dignity during examinations investigations and treatments."

Equality

Latest Snippet(s)

Positive

"• The service actively promoted equality and diversity."

Neutral

"Staff had received equality and diversity training."

Complaints

Latest Snippet(s)

Positive

"For example we reviewed a complaint regarding a missed diagnosis for a patient with the patient being subsequently admitted to hospital."

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."

2017-03-31 Snippet(s)

Positive

"If the presenting complaint was not on the inclusion criteria then the patient was asked to wait to be seen by the attending clinician."

Governance

Latest Snippet(s)

Positive

"Governance arrangements There were clear responsibilities roles and systems of accountability to support good governance and management."

Positive

"We saw that structures processes and systems to support good governance were in place at provider level."

Neutral

"This included mandatory training such as safeguarding information governance and health and safety."

Neutral

"The day incorporated a groupwide formal clinical governance meeting."

2017-03-31 Snippet(s)

Positive

"• The leadership team liaised regularly with senior members of One Medicare Limited to discuss progress Governance arrangements The service had an overarching governance framework that supported the delivery of the strategy and good quality care."

Positive

"• There was an overarching governance framework which supported the delivery of the strategy and good quality care."

Positive

"Any changes to practice including NICE guidelines were discussed at the regional clinical governance meeting and implemented via discussions at the monthly centre meeting."

Positive

"The onsite leadership team attended governance and clinical meetings held by the wider corporate provider leadership team."

Positive

"This ensured that the provider retained oversight of governance arrangements within the centre and achieved a balance between the clinical and business aspects involved with running the centre."

Neutral

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

Neutral

"There were also monthly team meetings and lead clinicians attended clinical governance meetings that were external to the service."

Sustainability

Latest Snippet(s)

Positive

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

Quality Improvement

Latest Snippet(s)

Positive

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

Positive

"• The service was actively involved in quality improvement activity."

2017-03-31 Snippet(s)

Positive

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

Quality of Care

Latest Snippet(s)

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."

2017-03-31 Snippet(s)

Positive

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

Positive

"• Improvements were made to the quality of care as a result of complaints and concerns."

Signage

2017-03-31 Snippet(s)

Positive

"• The provider was working with partners to improve signage at the entrance and from main routes to the centre."