Safety

Privacy

Latest Snippet(s)

Positive

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

2015-04-16 Snippet(s)

Neutral

"We saw that privacy had been discussed and included in the the patient participation group PPG survey questionnaire."

Neutral

"The practice had not specifically detailed privacy as an item on their plan for change but they had identified redesign of the building and would be looking at privacy within the redesign."

Safety

Latest Snippet(s)

Positive

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

Positive

"• Staff were clear on their roles and accountabilities including in respect of safeguarding and infection prevention and control • Practice leaders had established proper policies procedures and activities to ensure safety and assured themselves that they were operating as intended."

Positive

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

Positive

"• All staff received uptodate safeguarding and safety training appropriate to their role."

Positive

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

Positive

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

Positive

"• The practice conducted safety risk assessments."

Positive

"It had a suite of safety policies which were regularly reviewed and communicated to staff."

Positive

"Staff received safety information for the practice as part of their induction and refresher training."

Positive

"This meant that there was no delay in starting medication with added safety for the patient."

Positive

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

Positive

"• There was a system for receiving and acting on safety alerts."

Neutral

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

Neutral

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

2015-04-16 Snippet(s)

Positive

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

Positive

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

Positive

"National patient safety alerts received were disseminated to appropriate staff by the personal assistants PAs."

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

"We saw that clinical audits undertaken 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

"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

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

Abuse

Latest Snippet(s)

Positive

"Staff took steps to protect patients from abuse neglect harassment discrimination and breaches of their dignity and respect."

2015-04-16 Snippet(s)

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."

Diet

2015-04-16 Snippet(s)

Neutral

"The GPs would use their appointments with patients to talk about mental physical health and wellbeing and would offer opportunistic checks such as smoking cessation alcohol and drug advice and diet advice when necessary."

Support

Latest Snippet(s)

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

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

Positive

"• Staff recognised the importance of patients’ 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 proper policies procedures and activities to ensure safety and assured themselves that they were operating as intended."

Positive

"Staff took steps to protect patients from abuse neglect harassment discrimination and breaches of their dignity and respect."

2015-04-16 Snippet(s)

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

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

Positive

"Patients reported that staff treated them with dignity and respect."

Positive

"We saw evidence of emotional support by all members of staff."

Equality

Latest Snippet(s)

Positive

"• The practice actively promoted equality and diversity."

Neutral

"Staff had received equality and diversity training."

2015-04-16 Snippet(s)

Positive

"We reviewed a number of policies including recruitment induction and the staff handbook which included sections on sickness equality and harassment and bullying at work."

Positive

"Tackling inequity and promoting equality The practice was small and the staff knew most of the patients very well."

Complaints

Latest Snippet(s)

Positive

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

Positive

"One complaint was received in the last year."

Positive

"We reviewed this complaint and found that it was satisfactorily handled in a timely way."

Positive

"• Information about how to make a complaint or raise concerns was available and it was easy to do."

2015-04-16 Snippet(s)

Positive

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

Governance

Latest Snippet(s)

Positive

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

Positive

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

Positive

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

2015-04-16 Snippet(s)

Neutral

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

Neutral

"The practice held regular governance meetings where performance quality and risks were discussed."

Sustainability

Latest Snippet(s)

Positive

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

Quality Improvement

Latest Snippet(s)

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."

Quality of Care

Latest Snippet(s)

Positive

"Good As part of our inspection process we also look at the quality of care for specific population groups."

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."

2015-04-16 Snippet(s)

Positive

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

Positive

"This banding is not a judgement on the quality of care being given by the GP practice; this only comes after a CQC inspection has taken place."

Control of Infection

2015-04-16 Snippet(s)

Positive

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

Positive

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

Positive

"For example they had shared findings from an infection control audit with the team."

Neutral

"The senior partner was the lead for infection control and disseminated information updates to staff when they were received."

Neutral

"All staff had received induction training about infection control specific to their role."

Neutral

"The senior partner was the lead for infection control and for safeguarding."

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