What is the Quality of Safety at Edlesborough Surgery

Positive

"The practice had an overarching governance framework which supported the delivery of the strategy and good quality care."

Positive

"• The practice had demonstrated significant improvements in governance arrangements."

Positive

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

Positive

"Governance arrangements The practice had a governance framework which supported the delivery of the strategy and good quality care."

Positive

"However governance monitoring of specific areas required improvement for example: • Patient monitoring and quality outcomes were not monitored effectively."

Positive

"• Further review assess and monitor the governance arrangements in place to ensure the delivery of safe and effective services."

Positive

"Further review assess and monitor the governance arrangements in place to ensure the delivery of safe and effective services."

Positive

"All staff we spoke with had a comprehensive understanding of the governance arrangements and performance of the practice."

Positive

"We found the registered person did not operate effective governance and monitoring system to assess and mitigate the risks relating to emergency procedures management of blank prescription forms and pads Disclosure and Barring Scheme DBS checks dispensing audits and rolling stock checks and dispensing related incidents ."

Neutral

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

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

"Overview of safety systems and processes A notice was displayed in the premises advising patients that chaperones were available if required."

Positive

"The practice also had a variety of other risk assessments in place to monitor safety of the premises such as control of substances hazardous to health and infection control and legionella a bacterium which can contaminate water systems in buildings."

Positive

"The practice had an up to date fire risk assessment in place and they were carrying out fire safety checks."

Positive

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

Positive

"• Staff received training that included: safeguarding children and adults fire safety basic life support health and safety and equality and diversity."

Positive

"When there were significant safety incidents: • The practice gave affected patients reasonable support truthful information and a verbal and written apology."

Positive

"• The majority of information about safety was recorded monitored and reviewed."

Positive

"The practice had systems in place for knowing about notifiable safety incidents."

Positive

"Overview of safety systems and processes The practice had systems processes and practices in place to keep patients safe and safeguarded from abuse however improvements were required."

Positive

"There was a health and safety policy available."

Neutral

"• The practice had a staff handbook for newly appointed nonclinical members of staff that covered such topics as safeguarding fire safety health and safety and confidentiality."

Positive

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

Positive

"They said staff treated them with dignity and their privacy was respected."

Positive

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

Positive

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

Positive

"• Arrangements were in place to safeguard children and vulnerable adults from abuse that reflected relevant legislation and local requirements and policies were accessible to all staff."

Positive

"Overview of safety systems and processes The practice had systems processes and practices in place to keep patients safe and safeguarded from abuse however improvements were required."

Positive

"The practice also had a variety of other risk assessments in place to monitor safety of the premises such as control of substances hazardous to health and infection control and legionella a bacterium which can contaminate water systems in buildings."

Positive

"A clinical manager was the infection control lead who liaised with the local infection prevention teams to keep up to date with best practice."

Neutral

"• There was an infection control protocol in place and infection control audits were undertaken regularly."

Neutral

"There was an infection control protocol in place and all staff had received up to date training."

Neutral

"Annual infection control audits were undertaken and we saw evidence that action was taken to address any improvements identified as a result."

Positive

"The majority of 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 decisions about their care and 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 also saw that staff treated patients with kindness and respect and maintained confidentiality."

Positive

"They said staff treated them with dignity and their privacy was respected."

Positive

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

Positive

"• Staff received training that included: safeguarding children and adults fire safety basic life support health and safety and equality and diversity."

Positive

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

Positive

"Clinical audits were carried out to demonstrate quality improvement and all relevant staff were involved in improving care and treatment and patient outcomes."