What is the Quality of Safety at Mollison Way Surgery

Positive

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

Positive

"Lessons were shared to make sure action was taken to improve safety in the practice."

Positive

"The practice had systems for being aware of notifiable safety incidents and sharing the information with staff and ensuring appropriate action was taken."

Positive

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

Positive

"• The practice had a variety of other risk assessments to monitor safety of the premises such as control of substances hazardous to health COSHH and infection control and legionella."

Positive

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

Positive

"The arrangements for managing medicines including emergency medicines and vaccines in the practice minimised risks to patient safety including obtaining prescribing recording handling storing security and disposal."

Positive

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

Positive

"Our key findings across all the areas we inspected were as follows: • There was an open and transparent approach to safety and a system in place for reporting and recording significant events."

Positive

"• There was a health and safety policy available."

Neutral

"Overview of safety systems and processes The practice had defined and embedded systems processes and practices in place to minimise risks to patient safety."

Neutral

"• The practice supplied evidence of recent medicines audits including an audit of amlodipine and simvastatin prescribing which had been carried out following a national safety alert."

Neutral

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

Neutral

"• Staff received mandatory training that included safeguarding fire safety awareness basic life support infection prevention and control equality and diversity and information governance."

Positive

"• Staff interviewed knew how to recognise signs of abuse in children young people and adults whose circumstances may make them vulnerable."

Positive

"For example health and safety; infection control; safeguarding patients at risk of abuse and clinical areas."

Positive

"• Staff were able to recognise the signs of abuse in older patients and knew how to escalate any concerns."

Positive

"• The practice had a variety of other risk assessments to monitor safety of the premises such as control of substances hazardous to health COSHH and infection control and legionella."

Neutral

"• The practice carried out annual infection control audits."

Positive

"We saw staff treated patients with kindness and respect and maintained patient confidentiality • Information for patients about the services available was accessible."

Positive

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

Positive

"• Patients who participated in the inspection said they were treated with compassion and they were involved in decisions about their care and treatment."

Positive

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

Neutral

"• Staff received mandatory training that included safeguarding fire safety awareness basic life support infection prevention and control equality and diversity and information governance."

Positive

"• Reviewed documentary evidence for example practice policies; written protocols and guidelines; audit reports; patient complaint files; meeting notes; and monitoring checks."

Positive

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

Positive

"Performance information was shared with the central governance team and directors and with other practices in the provider group."

Neutral

"• The practice had policies and procedures to govern activity and held regular governance meetings."

Positive

"There was evidence of quality improvement including clinical audit: • The practice provided evidence of two clinical audits carried out over the previous ten months."

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."