What is the Quality of Safety at Dr. Wilks & Partners

Positive

"Kindness respect and compassion Staff treated patients with kindness respect and compassion."

Positive

"• Staff involved and treated patients with compassion kindness dignity and respect."

Positive

"• Staff were clear on their roles and accountabilities including in respect of safeguarding and infection prevention and control • Practice leaders had established some policies procedures and activities to ensure safety but there was a need to improve these."

Positive

"Privacy and dignity The practice respected patients’ privacy and dignity."

Positive

"• Staff recognised the importance of people’s dignity and respect."

Positive

"• Staff took steps including working with other agencies to protect patients from abuse neglect harassment discrimination and breaches of their dignity and respect."

Positive

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

Positive

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

Positive

"They also told us they were very satisfied with the care provided by the practice and said their dignity and privacy was respected."

Positive

"Results from the national GP patient survey showed patients felt they were treated with compassion dignity and respect."

Positive

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

Positive

"• Clinical audit had a positive impact on quality of care and outcomes for patients."

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

"Privacy and dignity The practice respected patients’ privacy and dignity."

Positive

"They also told us they were very satisfied with the care provided by the practice and said their dignity and privacy was respected."

Positive

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

Positive

"• Staff were clear on their roles and accountabilities including in respect of safeguarding and infection prevention and control • Practice leaders had established some policies procedures and activities to ensure safety but there was a need to improve these."

Positive

"Track record on safety The practice had a good track record on safety."

Positive

"The practice learned and shared lessons identified themes and took action to improve safety in the practice."

Positive

"• There was a strong emphasis on the safety and wellbeing of all staff."

Positive

"Risks to patients Systems in place to assess monitor and manage risks to patient safety were not always adequate."

Positive

"• The practice acted on and learned from external safety events as well as patient and medicine safety alerts."

Positive

"Practice leaders had oversight of national and local safety alerts incidents and complaints."

Positive

"At this inspection we found: • The practice had systems to manage risk so that safety incidents were less likely to happen."

Positive

"For example in relation to health and safety Legionella and medicines management."

Positive

"Staff received uptodate safeguarding and safety training."

Positive

"• There were some risk assessments undertaken in relation to safety issues."

Positive

"• Information was also received of an electrical installation safety assessment being undertaken the week following our inspection."

Positive

"This helped it to understand risks and gave a clear accurate and current picture of safety that led to safety improvements."

Positive

"• However they did not always maintain an accurate overview and understanding of key quality and risks within the practice for example in relation to health and safety and training."

Positive

"In particular: health and safety assessments Legionella and security risk assessments."

Positive

"In particular mental capacity medicines management principles of health and safety and anaphylaxis training."

Neutral

"For example at the time of inspection there was no recorded health and safety audit of the practice."

Neutral

"Risks were not always adequately identified and assessed for example in relation to health and safety and safety audits."

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 a variety of other risk assessments in place to monitor safety of the premises such as control of substances hazardous to health and infection control and legionella Legionella is a term for a particular bacterium which can contaminate water systems in buildings."

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

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

Positive

"When there were unintended or unexpected safety incidents patients received reasonable support truthful information a verbal and written apology and were told about any actions to improve processes to prevent the same thing happening again."

Positive

"• When there were unintended or unexpected safety incidents patients received reasonable support truthful information a verbal and written apology."

Positive

"We reviewed safety records incident reports national patient safety alerts and minutes of meetings where these were discussed."

Positive

"There was a health and safety policy available with a poster in the meeting room which identified local health and safety representatives."

Positive

"The practice had systems in place for knowing about notifiable safety incidents When there were unexpected or unintended safety incidents: • The practice gave affected patients reasonable support truthful information and a verbal and written apology • They kept written records of verbal interactions as well as written correspondence."

Positive

"This covered such topics as health and safety and confidentiality."

Positive

"• Staff took steps including working with other agencies to protect patients from abuse neglect harassment discrimination and breaches of their dignity and respect."

Positive

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

Positive

"For example anaphylaxis training infection control mental capacity and the principles of health and safety."

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 infection control and legionella Legionella is a term for a particular bacterium which can contaminate water systems in buildings."

Positive

"The practice nurse was the infection control clinical lead who liaised with the local infection prevention teams to keep up to date with best practice."

Neutral

"There was an infection control protocol in place and staff had received up to date training."

Neutral

"Annual infection control audits were undertaken and we saw evidence that action was taken to address any improvements identified as a result."

Positive

"• The practice held a weekly baby clinic with good relationships built with the local health visitor and community midwife."

Neutral

"• The practice was working to mitigate the impact of community staff moving out of the practice to a central location by holding regular meetings with the health visitor and through the frailty lead GPs work with the multidisciplinary team."

Positive

"• The practice actively promoted equality and diversity."

Neutral

"Staff had received equality and diversity training."

Positive

"• Some Information about how to make a complaint or raise concerns was available within the practice booklet and website."

Positive

"• The complaint policy and procedures were generally in line with recognised guidance."

Positive

"• The complaint policy and procedures were in line with recognised guidance and contractual obligations for GPs in England."

Positive

"Governance arrangements There were clear responsibilities roles and systems of accountability to support good governance and management."

Positive

"• Structures processes and systems to support good governance and management were clearly set out Are services wellled?"

Positive

"The governance and management of partnerships joint working arrangements and shared services promoted interactive and coordinated personcentred care."

Positive

"• There was an overarching governance framework which supported the delivery of the strategy and good quality care."

Positive

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

Neutral

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

Positive

"• Quality and sustainability were discussed in relevant meetings where all staff had sufficient access to information."