What is the Quality of Safety at Thornbrook Surgery

Positive

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

Positive

"Monitoring risks to patients and staff • There was a health and safety policy available and there were some risk assessments in place to monitor safety of the premises such as the control of substances hazardous to health."

Positive

"• Staff reported all significant events and learning was applied from incidents to improve safety in the practice."

Positive

"For example a GP attended a CCG clinical governance meeting which highlighted the importance of the six week baby check in ensuring the safety and wellbeing of the child."

Positive

"Learning points were identified to improve safety in the practice."

Positive

"• The practice team undertook an annual review of all incidents to ensure all actions had been completed and learning had been applied to enhance patient safety and experience."

Positive

"Site inspections were undertaken approximately every six months to check the fabric of the building security issues or other potential health and safety matters."

Positive

"• When there were unintended or unexpected safety incidents people received support information an apology and were told about any actions taken to prevent the same thing happening again."

Positive

"• Staff received training that included safeguarding fire safety awareness and basic life support."

Positive

"A good working relationship had been established with the local infection control and prevention team and the practice provided a recent example of effective liaison with this team regarding the management of a patient with an infectious condition."

Positive

"A practice nurse was the appointed infection control lead role and additional training had been undertaken in support of this role."

Neutral

"• The practice had a designated infection control lead who undertook regular audits and worked with the local infection prevention and control teams for advice when required."

Neutral

"There were infection control policies in place which had been reviewed regularly."

Neutral

"Practice staff had received infection control training including handwashing and received information as part of new staff inductions."

Neutral

"Annual infection control audits were undertaken regularly and we saw evidence that recommendations had been made as a result of this which were being formalised into an action plan."

Neutral

"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."

Positive

"Good ––– Families children and young people • The health visitor attended a meeting with practice clinicians once a month to discuss any child safeguarding concerns and there was effective liaison between these meetings regarding any issues."

Positive

"The health visitor informed us that the safeguarding lead GP was easily accessible to discuss any concerns and that they responded appropriately to any concerns that were raised."

Positive

"We also spoke with a health visitor and a member of the district nursing team who reported that the GPs and the whole practice team were patientcentred and always did their best for their patients."

Positive

"In addition we spoke with representatives from two local care homes a health visitor a district nurse and a member of the CCG medicines management team regarding their experience of working with the practice team."

Neutral

"The health visitor attended a monthly meeting with clinicians from the practice team to discuss any child safeguarding concerns."

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 we spoke with during the inspection and feedback received on our comments cards indicated they were treated with compassion dignity and respect and felt involved in decisions about their care and treatment."

Positive

"Patients we spoke with told us they were listened to and supported by staff and felt they were treated with compassion dignity and respect by clinicians."

Positive

"Throughout our inspection we observed that members of staff were courteous and helpful to patients and treated them with dignity and respect."

Positive

"Staff treated patients with kindness and respect and maintained confidentiality throughout our inspection."

Positive

"• Data from the latest GP survey showed that patients generally rated the practice above or in line with local and national averages in respect of care."

Positive

"For example the advanced nurse practitioners were able to access mentorship and advice from GPs in respect of their roles and particularly in relation to their independent prescribing status."

Positive

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

Positive

"We saw an example of how learning had been undertaken following a complaint which had arisen regarding confusion about booking a medicines review appointment with a GP."

Positive

"• There was a clear leadership structure in place and the practice had a governance framework which supported the delivery of good quality care."

Positive

"Governance arrangements The practice had a governance framework which supported the delivery of good quality care."

Positive

"For example a GP attended a CCG clinical governance meeting which highlighted the importance of the six week baby check in ensuring the safety and wellbeing of the child."

Positive

"• A regular programme of clinical audit demonstrated quality improvement and we saw examples of full cycle audits that had led to improvements in patient care and treatment."

Positive

"There was evidence of quality improvement including a comprehensive programme of clinical audit."

Positive

"One partner was the primary care clinical lead for the CCG with a remit for quality improvement including input to a range of CCG workstreams."

Positive

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

Positive

"Improvements were made to the quality of care as a result of any complaints received."