What is the Quality of Safety at The Misbourne Practice

Positive

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

Positive

"• The practice had a clear vision which had quality and safety as its top priority."

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 systems in place for notifiable safety incidents and ensured this information was shared with staff to ensure appropriate action was taken."

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

"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

"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 a legionella assessment."

Positive

"• National patient safety and medicine alerts were disseminated within the practice in a formal way and there was a system to record that these had been appropriately dealt with."

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 displayed which identified local health and safety representatives."

Positive

"This survey reviewed staff opinions across five different areas workload communication leadership teamwork and safety systems and was part of the ‘safety climate report’."

Positive

"• The health and safety policy was underpinned by robust risk assessments of the risks associated with the practice premises."

Positive

"The protocol included guidance on basic safety procedures personal protective equipment transporting liquid nitrogen and associated health risks."

Neutral

"For example we discussed a recent national patient safety alert."

Neutral

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

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."

Neutral

"The nurse prescriber and one of the practice nurses had been appointed as the joint infection control leads."

Neutral

"There was an infection control protocol in place for both the Chalfont St Peter practice and Chalfont St Giles practice and all practice staff had received up to date training."

Neutral

"Annual infection control audits were undertaken."

Positive

"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 received support or were signposted to the relevant service."

Positive

"• We observed members of staff were courteous and very helpful to patients and treated them with dignity and respect."

Positive

"Patients comments highlighted they felt the staff were helpful caring and treated them with dignity and respect."

Positive

"They told us the practice was responsive to patients needs including complex medicine needs and treated them with dignity and respect."

Positive

"• We saw staff treated patients with kindness and respect and maintained patient and information confidentiality."

Positive

"Patient feedback received during the inspection highlighted the compassion of practice staff when supporting patients at vulnerable stages within their lives one example was the support from the practice following a family bereavement."

Positive

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

Positive

"Further verbal and written feedback highlighted the compassion of practice staff when supporting patients at vulnerable stages within their lives for example when experiencing poor mental health and following family bereavements."

Positive

"For example one complaint highlighted a patient had not fully understood the new system and new arrangements for long term condition reviews which had recently commenced."

Positive

"On instant receipt of the verbal complaint one of the nurses explained the new care planning arrangements and made a long term condition review appointment at a time and date suitable for the patient."

Positive

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

Neutral

"The practice had a number of policies and procedures to govern activity and held regular governance meetings."

Neutral

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

Neutral

"Regular meetings took place for staff groups including whole staff partner nurse clinical governance and reception and administration staff meetings."

Positive

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

Positive

"• The Misbourne Practice was a teaching practice and had recently been approved to become a training practice; we saw evidence of a long tradition of audit activity to monitor the quality of care offered to patients."

Positive

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

Positive

"• Feedback from patients relating to access to services and the quality of care was significantly higher when compared with local and national averages."