What is the Quality of Safety at The Homewell Practice

Positive

"• Structures processes and systems to support good governance and management were clearly set out understood and effective."

Positive

"Governance arrangements There were responsibilities roles and systems of accountability to support good governance and management however these were not consistently effective."

Positive

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

Neutral

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

Neutral

"The CCG had developed a local commissioned service aimed at clinical governance in general practice."

Neutral

"The practice regularly submitted governance and performance data to the CCG."

Neutral

"The practice held weekly meetings where governance issues were discussed."

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

"• The practice considered and understood the impact on the quality of care of service changes or developments."

Positive

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

Positive

"However lessons learned from individual complaints had been acted on and improvements made to the quality of care as a result."

Positive

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

Positive

"All of them told us they were satisfied with the care provided by the practice and said their dignity and privacy was respected."

Positive

"Disposable curtains were provided in consulting rooms and treatment rooms so that patients’ privacy and dignity was maintained during examinations investigations and treatments."

Positive

"Staff told us that if they had any concerns or observed any instances of discriminatory behaviour or where patients’ privacy and dignity was not being respected they would raise these with the practice manager."

Neutral

"Staff and patients told us that all consultations and treatments were carried out in the privacy of a consulting room."

Positive

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

Positive

"Track record on safety The practice had an adequate track record on safety."

Positive

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

Positive

"• The practice was not able to provide evidence of comprehensive risk assessments in relation to fire health and safety and premises security as these were completed and retained by NHS Property Services who owned the building."

Positive

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

Positive

"• Practice leaders reported they had established policies procedures and activities to ensure safety and assured themselves that they were operating as intended."

Positive

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

Positive

"• The practice monitored and reviewed safety using information from a range of sources."

Neutral

"• The practice had clear systems to manage risk so that safety incidents were less likely to happen."

Neutral

"• However the practice did not have full oversight of all health and safety issues including security within the building."

Neutral

"• The practice could not provide adequate assurances that all risk assessments including health and safety and premises security for the practice were in place."

Positive

"Information about safety was recorded monitored appropriately reviewed and addressed."

Positive

"Staff used incident forms on the practice intranet and sent completed forms to the patient safety champion."

Positive

"Monitoring safety and responding to risk The practice had systems processes and policies in place to manage and monitor risks to patients staff and visitors to the practice."

Positive

"The GPs told us clinical audits were often linked to 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

"Health and safety information was displayed for staff to see and there was an identified health and safety representative."

Positive

"For example reported incidents and national patient safety alerts as well as comments and complaints received from patients."

Positive

"National patient safety alerts were disseminated verbally and electronically to practice staff."

Positive

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

Positive

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

Positive

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

Positive

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

Positive

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

Positive

"This included zero tolerance towards abuse posters displayed at reception."

Neutral

"The practice also used sign language services in order to communicate with some of their patients."

Neutral

"The practice had access to interpreters language telephone lines and signers to assist those who used sign language."

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

"• The practices GP patient survey results were in line with local and national averages for questions relating to kindness respect and compassion."

Positive

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

Positive

"• Staff were clear on their roles and accountabilities including in respect of safeguarding and infection prevention and control."

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 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

"The evidence from all these sources showed patients were satisfied with how they were treated and that this was with compassion dignity and respect."

Positive

"Patientcarer support to cope emotionally with care and treatment The patient survey information we reviewed showed patients were extremely positive about the emotional support provided by the practice and rated it well in this area."

Positive

"All of them told us they were satisfied with the care provided by the practice and said their dignity and privacy was respected."

Positive

"We also saw that staff treated patients with kindness and respect and maintained confidentiality."

Positive

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

Positive

"Disposable curtains were provided in consulting rooms and treatment rooms so that patients’ privacy and dignity was maintained during examinations investigations and treatments."

Positive

"Staff told us that if they had any concerns or observed any instances of discriminatory behaviour or where patients’ privacy and dignity was not being respected they would raise these with the practice manager."

Positive

"• The practice actively promoted equality and diversity."

Neutral

"Staff had received equality and diversity training."

Positive

"Tackling inequity and promoting equality The practice had recognised the needs of different groups in the planning of its services."

Neutral

"All of the staff working at the practice had completed training in equality and diversity."

Neutral

"The practice provided equality and diversity training and all staff were recorded as having attended this."

Neutral

"We reviewed a number of policies for example equality and diversity and recruitment."

Positive

"• Information about how to make a complaint or raise concerns was available."

Positive

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

Positive

"None of the patients we spoke with had ever needed to make a complaint about the practice."

Positive

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

Positive

"Monitoring care and treatment The practice had a comprehensive programme of quality improvement activity and routinely reviewed the effectiveness and appropriateness of the care provided."

Positive

"• The practice was actively involved in quality improvement activity."

Positive

"Staff spoke positively about the culture in the practice around audit and quality improvement noting that there was an expectation that all clinical staff should undertake at least one audit a year."

Positive

"This means the practice will abide by the data protection act to keep patients personal data and information including records safe and secure."

Positive

"Cleanliness and infection control We observed the premises to be clean and tidy."

Neutral

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

Neutral

"All staff received induction training about infection control specific to their role and received annual updates."

Neutral

"For example there was a lead nurse for infection control and there was a lead for safeguarding."