What is the Quality of Safety at Parish Fields Practice

Positive

"We identified areas where the provider could improve and should: • Continue to monitor evaluate and improve the quality of care provided to patients with long term conditions."

Positive

"• The way the practice was led and managed promoted the delivery of highquality personcentred care however improvements were required in the quality of care provided to people with long term conditions."

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

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

Positive

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

Positive

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

Positive

"During our inspection we saw that staff treated patients with kindness and respect and maintained confidentiality."

Positive

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

Positive

"Staff respected patients and preserved their dignity and privacy."

Positive

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

Neutral

"We saw records to confirm that patient privacy curtains were changed on a regular basis."

Neutral

"This room was used to provide privacy for patients who wished to speak to a receptionist or other staff member away from the reception desk."

Positive

"Monitoring safety and responding to risk The practice had considered the risks of delivering services to patients and staff and had implemented systems to reduce risks."

Positive

"Learning and improvement from safety incidents The practice had systems in place for reporting recording and monitoring significant events."

Positive

"Rigorous auditing and review processes were in place to monitor the safety of prescribing and dispensing of medicines."

Positive

"Reliable safety systems and processes including safeguarding Systems were in place to safeguard children and adults."

Positive

"Our key findings were as follows: • The practice had a system for reviewing and responding to safety alerts and significant events."

Positive

"We saw that portable appliance testing had been carried out to ensure the safety of all electrical equipment."

Positive

"These included assessment of risks associated with moving and handling fire safety medical emergencies health and safety of the environment and control of Legionella bacteria."

Positive

"We saw that items for discussion included significant events complaints and compliments health and safety and training."

Positive

"There were systems and processes in place for managing and responding to safety alerts."

Positive

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

Positive

"We reviewed safety records incident reports and minutes of meetings where these were discussed for the last year."

Positive

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

Positive

"A designated GP partner was the practice lead for safeguarding children and for domestic abuse and another GP partner was the lead for safeguarding of vulnerable adults."

Positive

"Information on safeguarding and domestic abuse was displayed in the patient waiting room and other information areas."

Positive

"Practice staff had received training around domestic abuse and so were well placed to support patients who were affected."

Positive

"Cleanliness and infection control Systems were in place to reduce the risks of the spread of infection."

Neutral

"A designated member of staff was the practice infection control lead person."

Neutral

"All staff had received training in infection control processes and were aware of infection control practices."

Neutral

"Auditing of infection control processes was carried out annually."

Positive

"The waiting area included various information which sign posted people to support available including citizen’s advice counselling and bereavement services."

Positive

"A sign on the reception desk politely requested that patients waiting to speak with a receptionist stood away from the desk to allow the patient before them some privacy."

Positive

"Tackling inequity and promoting equality The practice recognised the dichotomy of wealth and deprivation that exists in Diss and the surrounding area."

Positive

"Governance arrangements There was an effective governance framework in place to support the delivery of good quality care."

Positive

"• Practice staff provided proactive and tailored services to support vulnerable patients • The practice had a robust governance structure in place with designated lead and administrative staff for a range of areas alongside a range of different meetings for staff."

Positive

"GPs and staff had received training on information governance and signed a confidentiality agreement at the start of their employment."

Neutral

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

Neutral

"The practice held regular governance meetings."

Positive

"Staff spoke of a culture of quality improvement and continuous learning within the practice."