What is the Quality of Safety at Giffard Drive Surgery

Positive

"Areas where the practice must improve: • Establish effective systems and processes to ensure good governance in accordance with the fundamental standards of care • Ensure recruitment procedures are established and operated effectively to ensure only fit and proper persons are employed."

Positive

"• There were some governance arrangements that required a review and some risks that had not been identified by the practice such as no monitoring of consent seeking process gaps in recruitment documentation and care plans not being routinely reviewed or updated."

Positive

"The practice had a clinical governance policy and throughout the inspection we observed staff followed information governance guidance such as using a clear desk rule to ensure confidential patient information was protected."

Positive

"The practice had effective internal and clinical governance systems."

Neutral

"The practice had a number of policies and procures to govern activity and regular governance meetings had taken place."

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

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

Positive

"However some essential training for GPs was overdue such as health and safety training."

Positive

"The practice protected the safety of its patients because they had a lead GP for vulnerable adults and children and staff were clear about what they needed to do if they were concerned or worried about a child or vulnerable adult."

Positive

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

Positive

"GPs provided us with examples of acting upon safety alerts such as reviewing patients on a specific medicine to ensure it was safe."

Positive

"The practice had plans in place to ensure they were able to manage safety risks such as major incidents or disruptions to the service."

Positive

"The practice had systems in place to enable them to manage incidents and safety alerts."

Positive

"Reliable safety systems and processes including safeguarding The practice had a vulnerable adults and children’s safeguarding policy and a GP safeguarding lead."

Positive

"The practice also had a health and safety policy."

Positive

"Health and safety information was displayed for staff to see."

Neutral

"They said they had received training in areas such as safeguarding confidentiality fire safety and health and safety within the building."

Positive

"All of the patients we spoke with were complimentary of the care and service that staff provided and confirmed that care was provided with respect to patients’ privacy and dignity."

Positive

"Practice seeks and acts on feedback from users public and staff All of the patients we spoke with were complimentary about the care and service that staff provided and confirmed that care was provided with respect to patients’ privacy and dignity."

Positive

"We noted this was a sensitive approach to young adults that educated them about their right to privacy and enabled them to access a range of guidance independently should they wish to."

Neutral

"The waiting area had a poster advising patients that they could speak to staff in private if they needed to and the waiting area also used low level music to provide some privacy for patients talking to receptionists."

Neutral

"Throughout the inspection we noted that staff knocked at clinic doors before entering and consulting rooms were equipped with curtains around examination couches to give privacy during examinations."

Positive

"Where abuse was suspected the practice took appropriate actions and worked in partnership with relevant agencies."

Positive

"The policy included definitions of abuse and contact details for external agencies including the lead safeguarding authority."

Positive

"The practice had carried out audits of infection control in relation to minor surgery and the results of these audits for the past two years confirmed there were effective infection control measures in place."

Positive

"We noted that an infection control policy Are services safe?"

Neutral

"The practice had a practice nurse who was the lead for infection control and the practice told us they were implementing audits in accordance with guidance."

Neutral

"Cleanliness & Infection Control The practice had a practice nurse who was the lead for infection control."

Positive

"The practice had employed a receptionist who was trained in sign language to support patients who were deaf or hard of hearing."

Positive

"All of the patients we spoke with were complimentary of the care and service that staff provided and confirmed that care was provided with respect to patients’ privacy and dignity."

Positive

"Practice seeks and acts on feedback from users public and staff All of the patients we spoke with were complimentary about the care and service that staff provided and confirmed that care was provided with respect to patients’ privacy and dignity."

Positive

"They were very complimentary about the care and compassion of GPs and nurses who worked at the practice."

Positive

"Tackling inequity and promoting equality The practice had a policy on equality and diversity and it was evident from our discussions with staff that the practice had invested in ensuring staff understood the diversity and cultural needs of their patients to ensure their healthcare needs were fully met."

Positive

"The practice website described how patients could raise a concern or complaint about the practice and the practice had an electronic rolling screen and a poster in the waiting room that also explained to patients what to do if they were unhappy or worried about an aspect of their care."

Positive

"Records of all these meetings showed a variety of topics such as clinical education and updates quality improvement and training needs were discussed and appropriate action drawn up and carried out."