What is the Quality of Safety at Richmond Surgery

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

"Regular fire evacuation tests were also carried out in accordance with fire safety legislation."

Positive

"The practice had made improvements to the safety of services."

Positive

"We received an action plan from the provider informing us of the action they had taken to meet the regulation for safety and suitability of premises."

Positive

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

Positive

"Monitoring Safety & Responding to Risk There were formal risk management processes in place for checks of the building environment and fire safety."

Positive

"The practice reviewed procedures in relation as a result of medicines management information safety alerts or as a result of information from the quality and outcomes framework QOF."

Positive

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

Positive

"However where health and safety risks were identified and action plans produced these were not implemented or monitored."

Positive

"Reliable safety systems and processes including safeguarding The practice had systems to manage and review risks to vulnerable children young people and adults."

Neutral

"For example fire safety and health and safety."

Neutral

"Newly appointed staff carried out induction training which included equality and diversity health and safety fire safety and information governance."

Positive

"This consent was recorded in the patient’s record Health Promotion & Prevention We saw that the practice had a range of printed information available in the reception area relating to the promotion of good health and the prevention of illhealth such as information about smoking cessation diet advice and allergies."

Positive

"We saw signage outside the practice on the website and in newsletters for patients and visitors the practice also had a responsibility to advise the Information Commissioner that recordings were being made but had not done so."

Neutral

"Hand hygiene techniques signage was displayed in staff and patient toilets."

Positive

"• We found some governance and risk monitoring processes that required a review."

Positive

"• The practice had a risk assessment policy but did not have a defined way to record risks and outcomes for the overarching governance of the whole practice."

Positive

"The practice had a risk assessment policy but did not have a defined way to record risks and outcomes for an overarching governance of the whole practice."

Positive

"There were delegated responsibilities to named GPs such as a lead for the safeguarding of vulnerable adults and children a prescribing and a clinical governance lead."

Neutral

"The practice held governance meetings."

Positive

"Action the service SHOULD take to improve • Improve infection control with repair or replacement of the floor covering in one of the treatment rooms and devise a cleaning programme for the material curtains around examination couches."

Positive

"An infection control policy and supporting procedures were available for staff to refer to which enabled them to plan and implement infection control measures."

Neutral

"For example personal protective equipment including disposable gloves and aprons were available for staff to use and staff were able to describe how they would use these in order to comply with the practice infection control policy."

Neutral

"They told us that all staff received induction training about infection control specific to their role and then received annual training updates."

Neutral

"There was a lead nurse for infection control and the senior partner was the lead for safeguarding."

Positive

"There was a glass screen between the reception desk and waiting area which improved patient s privacy when speaking to reception staff."

Positive

"Curtains were provided in these rooms so that patients’ privacy and dignity was maintained during examinations investigations and treatments."

Neutral

"Consultations and treatments were carried out in the privacy of separate rooms."

Positive

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

Positive

"We also spoke with four patients on the day of our inspection who all told us they were satisfied with the care and respect provided by GPs and staff at the practice."

Positive

"• Patients were cared for and treated with dignity and respect and staff ensured their privacy."

Positive

"Patients told us that they were always treated with dignity and respect when using the practice."

Positive

"They said staff treated them with dignity and respect."

Positive

"Curtains were provided in these rooms so that patients’ privacy and dignity was maintained during examinations investigations and treatments."

Positive

"Tackling inequity and promoting equality The practice provided all new staff with equality and diversity training during their induction."

Neutral

"Newly appointed staff carried out induction training which included equality and diversity health and safety fire safety and information governance."

Positive

"Contact details of who to complain to if the patient was not satisfied with the response to their complaint was seen on the practice website."

Positive

"The policy detailed the timescales for responding to any complaint received."

Positive

"Staff knew their responsibilities in the event of a complaint being received."