What is the Quality of Safety at Vine Medical Centre

Neutral

"For example: • Patients receiving end of life care carers those at risk of developing a longterm condition and those requiring advice on their diet smoking and alcohol cessation."

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 decisions about their care and treatment."

Positive

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

Positive

"• The majority of patients said they were treated with compassion dignity and respect."

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

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

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 told us they were very 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

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

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."

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

"We noted that individual complaints had been acted upon however the lessons learned from complaints and actions taken as a result to improve the quality of care were not clearly defined."

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 infection control and legionella Legionella is a term for a particular bacterium which can contaminate water systems in buildings."

Positive

"Overview of safety systems and processes The practice had clearly defined and embedded systems processes and practices 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

"Lessons were shared and action was taken to improve safety within the practice."

Positive

"Areas for improvement Action the service MUST take to improve • Ensure that electrical appliances are safety checked on a regular basis and that decisions as to the timeliness of checks are formed as part of an assessment of risk."

Positive

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

Positive

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

Positive

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

Positive

"There was a health and safety policy available with a poster in the reception office which identified local health and safety representatives."

Positive

"However the practice had not carried out regular portable appliance safety checks or undertaken a risk assessment relating to this."

Positive

"• Staff received training that included: safeguarding fire safety awareness basic life support and information governance."

Neutral

"The areas where the provider must make improvements are: • Ensure that electrical appliances are safety checked on a regular basis and that decisions as to the timeliness of checks are formed as part of an assessment of risk."

Neutral

"This covered such topics as safeguarding infection prevention and control fire safety health and safety and confidentiality."

Positive

"• There was an effective system in place for reporting and recording significant events • Lessons were shared to make sure action was taken to improve safety in the practice."

Positive

"The practice had other risk assessments in place to monitor safety of the premises which included the control of substances hazardous to health and the risk of exposure to legionella which is found in some water supplies."

Positive

"Overview of safety systems and processes The practice had clearly defined and embedded systems processes and practices in place to keep patients safe and safeguarded from abuse: • Arrangements were in place to safeguard children and vulnerable adults from abuse that reflected relevant legislation and local requirements."

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."

Positive

"However the practice had not undertaken a fire safety risk assessment."

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

"However risk assessments associated with fire safety arrangements had not been undertaken."

Positive

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

Positive

"We reviewed staff training records and saw that some staff were not up to date with training in key areas such as fire safety health and safety and the safeguarding of vulnerable adults."

Positive

"The practice had systems in place for knowing about notifiable safety incidents When there were unexpected or unintended safety incidents: • The practice gave affected people reasonable support truthful information and a verbal and written apology • They kept written records of verbal interactions as well as written correspondence."

Positive

"• Ensure staff undertake training to enable them to undertake their role including training in the safeguarding of vulnerable adults health and safety fire safety and information governance."

Positive

"There were health and safety policies and procedures available within the practice."

Neutral

"• The practice had an induction programme for newly appointed nonclinical members of staff that covered such topics as infection prevention and control fire safety health and safety and confidentiality."

Neutral

"Staff were required to review updated policies and sign to say they had read and understood them."

Positive

"We reviewed a complaint from a patient in relation to a recommendation from reception staff to visit the local pharmacist."

Positive

"We saw minutes to meeting where this was discussed and saw the complaint summary had been colour coded to ensure any trends could be easily identified."

Positive

"A complaint from a patient who was unhappy with another patient being called in to the room when they were still getting dressed following a flu vaccination was not included in the complaints report."

Positive

"This complaint was not recorded in line with the complaints procedure."

Positive

"Governance arrangements There was a lack of an overarching governance framework within the practice to support the delivery of the strategy and good quality care."

Positive

"Areas for improvement Action the service MUST take to improve • Ensure there are formal governance arrangements in place including systems for assessing and monitoring risks and the quality of the service provision."

Positive

"For example following one incident the practice had recently reviewed their processes and provided updated information to staff to ensure information governance and data protection processes were appropriately followed."

Positive

"• There was a lack of an overarching governance framework within the practice."

Positive

"The areas where the provider must make improvements are: • Ensure there are formal governance arrangements in place including systems for assessing and monitoring risks and the quality of the service provision."

Positive

"They told us they were satisfied with the care provided by the practice and that 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 told us they were very 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

"Overview of safety systems and processes The practice had clearly defined and embedded systems processes and practices 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

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

Positive

"Overview of safety systems and processes The practice had clearly defined and embedded systems processes and practices in place to keep patients safe and safeguarded from abuse: • Arrangements were in place to safeguard children and vulnerable adults from abuse that reflected relevant legislation and local requirements."

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 infection control and legionella Legionella is a term for a particular bacterium which can contaminate water systems in buildings."

Positive

"The practice nurse was the infection control clinical 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 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

"A practice nurse was the infection control clinical 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 staff had received up to date training."

Neutral

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

Positive

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

Positive

"For example following one incident the practice had recently reviewed their processes and provided updated information to staff to ensure information governance and data protection processes were appropriately followed."