What is the Quality of Safety at Lane End Medical Group

Positive

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

Positive

"• Recruitment processes were in place that meant new staff including locum doctors underwent safety checks before starting work."

Positive

"Overview of safety systems and process • The practice had implemented a preemployment checklist for new staff and locum doctors."

Positive

"All staff were fully trained on the system and commented positively about the system’s safety and ease of use."

Positive

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

Positive

"Information about safety was recorded monitored appropriately reviewed and addressed."

Positive

"There were effective arrangements in place to report safety incidents in line with national and statutory guidance."

Positive

"The completed audits evidenced how audit results were used to improve patient outcomes and were typically linked to new clinical guidelines or safety alerts."

Positive

"However we also saw that some complaints received related to patient safety for example delayed patient referral letters but that there was no evidence of learning outcomes from these being shared with staff."

Positive

"Reliable safety systems and processes including safeguarding There were systems in place which ensured patients were safeguarded from the risk of abuse."

Positive

"We noted that new staff completed an induction which included infection control & prevention health and safety and an overview of staff members’ roles."

Neutral

"The practice also had a safety alert protocol detailing the procedure for sharing received drugs alerts throughout the practice."

Positive

"Records also showed that end of life care nurses regularly attended multidisciplinary meetings at the practice to ensure that emotional support and caring support were coordinated."

Positive

"Patients told us they were treated with compassion dignity and respect."

Positive

"When we spoke with patients they were positive about how they were treated by reception staff and during our inspection we observed that reception staff treated patients with dignity and respect."

Positive

"We saw that staff treated patients with kindness and respect and maintained confidentiality."

Positive

"Survey information we reviewed showed patients were positive about the emotional support provided by the practice and rated it well in this area."

Positive

"Our key findings across all the areas we inspected were as follows: • During our inspection we observed that reception staff treated patients with dignity and respect; • The practice had recognised the needs of different groups in the planning of its services."

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 banding is not a judgement on the quality of care being given by the GP practice; this only comes after a CQC inspection has taken place."

Positive

"• The practice maintained a detailed record of complaint investigations and lessons learned from them."

Positive

"As a result of this complaint reception staff were issued with new guidance to be more proactive when there were problems with telephone calls."

Positive

"As a result of another complaint the patient recall procedure following abnormal test results was updated."

Positive

"Patients told us they were aware of the process to follow if they wished to make a complaint but had not needed to make a complaint about the practice."

Neutral

"We looked at a range of policies including infection control data protection and safeguarding."

Positive

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

Positive

"A senior GP was designated safeguarding lead and the practice had ensured all staff were trained in protecting vulnerable adults and children from abuse to the appropriate level."

Positive

"Staff were able to recognise types of abuse including in older patients and knew how and to whom they would report or escalate a concern."

Positive

"The practice’s nurse practitioner was the Infection Prevention and Control IPC lead and responsible for ensuring effective infection control throughout the practice."

Positive

"For example the practice nurses’ outline of how they would report a sharps injury was consistent with the practice’s infection control and prevention policy."

Positive

"We noted that new staff completed an induction which included infection control & prevention health and safety and an overview of staff members’ roles."

Neutral

"Practice nurses had attended infection control training within the last twelve months."

Neutral

"The practice had an infection control policy and we noted that in accordance with the policy infection control audits took place every six months."

Neutral

"These included annual biannual and monthly checks of the building and equipment infection control medicines management staffing and dealing with emergencies."

Neutral

"We looked at a range of policies including infection control data protection and safeguarding."

Positive

"Tackling inequity and promoting equality The practice was purpose built and had ramped access to allow patients with mobility scooters and wheelchairs to access the practice."

Neutral

"Records showed that staff had completed equality and diversity training."