Latest Snippet(s)
Positive
"Monitoring risks to patients At our previous inspection staff had not received fire training and although the practice had fire marshals and a fire officer in place there was no one with overall fire safety responsibility."
Positive
"The deputy practice manager had overall responsibility for fire safety and staff had undertaken mandatory fire safety training and fire drill practice."
Positive
"Overview of safety systems and process At our previous inspection we saw there was a potential infection prevention and control IPC risk as some measures to minimise risk to staff and patients were not in place."
Positive
"The arrangements for managing medicines including emergency medicines and vaccines in the practice minimised risks to patient safety including obtaining prescribing recording handling storing security and disposal."
Positive
"For example staff had recently undertaken fire safety training and participated in a fire drill."
Positive
"Concerns around fire safety management including staff training had been rectified."
2017-08-21 Snippet(s)
Positive
"• From the sample of documented examples we reviewed we found there was an effective system for reporting and recording significant events; lessons were shared to make sure action was taken to improve safety in the practice."
Positive
"Although patients were potentially at risk of harm because systems and processes were incomplete such as infection prevention and control and overarching fire safety management."
Positive
"• We saw evidence that lessons were shared and action was taken to improve safety in the practice at the practice weekly meetings and the provider monthly performance meeting and bimonthly provider quality meeting."
Positive
"No single person in the practice had overall responsibility for fire safety although fire marshals and a fire officer were in place."
Positive
"The practice had systems for being aware of notifiable safety incidents and sharing the information with staff and ensuring appropriate action was taken."
Positive
"• The practice had a variety of other risk assessments to monitor safety of the premises such as control of substances hazardous to health and legionella."
Positive
"• We reviewed safety records incident reports patient safety alerts and minutes of meetings where significant events were discussed."
Positive
"This included support training for all staff on communicating with patients about notifiable safety incidents."
Positive
"Our key findings across all the areas we inspected were as follows: • There was an open and transparent approach to safety and a system in place for reporting and recording significant events."
Positive
"• Risks in regard of patients and staff safety required an additional focus such as infection prevention control staff mandatory training and staffing levels."
Positive
"Monitoring risks to patients There were procedures for assessing monitoring and managing risks to patient and staff safety: • There was a health and safety policy available."
Positive
"For example fire safety training."
Positive
"For example fire safety training although SHS provided evidence training was booked to take place."
Neutral
"Overview of safety systems and processes The practice had systems processes and practices in place to minimise risks to patient safety."
Neutral
"This covered such topics as safeguarding infection prevention and control fire safety health and safety and confidentiality."
2017-08-21 Snippet(s)
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 were signposted to the relevant service."
2017-08-21 Snippet(s)
Positive
"Ten patients commented about the care they received and said staff were helpful caring and treated them with dignity and respect."
Positive
"They told us they were satisfied with the care provided by the practice and said their dignity and privacy was respected."
Positive
"This showed patients felt they were being treated with kindness dignity and respect."
Positive
"• We saw staff treated patients with kindness and respect and maintained patient and information confidentiality."
Positive
"• Curtains were provided in consulting rooms to maintain patients’ privacy and dignity during examinations investigations and treatments."
Latest Snippet(s)
Positive
"• Spoke with representatives of Symphony Health Services and members of their governance team including the quality lead and the human resources lead."
2017-08-21 Snippet(s)
Positive
"• An overarching governance framework supported the delivery of the strategy and good quality care."
Positive
"Governance arrangements Symphony Health Services had an overarching governance framework which supported the delivery of the strategy and good quality care."
Positive
"The system allowed the governance and risk manager to have an overarching view of individual risks and themes which would be monitored at strategic level."
Positive
"• There was a clear governance structure within Symphony Health Services the provider and staff felt supported by management."
Positive
"• We also spoke to the Registered Manager who is the medical director for Symphony Health Services and members of their governance team including the lead nurse and quality lead."
Positive
"In addition complaints were reported by the Symphony Health Services Ulysses system and discussed at the monthly SHS governance and performance meeting."
Positive
"This was further supported by the Symphony Health Services for the overarching governance arrangements."
Neutral
"The practice had policies and procedures to govern activity and held regular governance meetings."
Neutral
"The training programme includes equality diversity and human rights information governance and conflict resolution training."
Neutral
"For example practice nurses undertook lead roles in diabetes and long term respiratory conditions the clinical lead undertook a governance lead role."
Neutral
"In addition team meetings such as a clinical workforce meeting were held weekly to look at governance of those areas."
Latest Snippet(s)
Positive
"Management monitoring and improving outcomes for people There was evidence of quality improvement including clinical audit: • We saw the GP clinical lead had raised the profile of audit within the culture of the practice and there was good evidence to support this."
Positive
"We saw evidence of quality improvement including a robust clinical audit plan and ongoing audits to drive improvement in patient outcomes."
Positive
"• The practice demonstrated they were driving quality improvement in patient outcomes."
2017-08-21 Snippet(s)
Positive
"There was evidence of quality improvement including clinical audit: • We were provided with some medicine management audits including a reaudit prior to our inspection."
Latest Snippet(s)
Positive
"This inspection was carried out to review in detail the actions taken by the practice to improve the quality of care and to confirm that the practice was now meeting legal requirements."
Positive
"This report describes our judgement of the quality of care at this service."
2017-08-21 Snippet(s)
Positive
"SHS had a system for their other services where an analysis of trends were looked at and actions were taken as a result to improve the quality of care across all the services."
Positive
"They provided home visits to ensure housebound patients received the same quality of care as patients attending the practice for management of longterm conditions."
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 complaints and concerns."
2017-08-21 Snippet(s)
Positive
"They told us they were 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."
2017-08-21 Snippet(s)
Positive
"• Staff interviewed knew how to recognise signs of abuse in children young people and adults whose circumstances may make them vulnerable."
Positive
"• Staff were able to recognise the signs of abuse in older patients and knew how to escalate any concerns."
2017-08-21 Snippet(s)
Neutral
"There was a potential infection control risk as we saw the baby changing area did not contain access to disinfectant wipes for patients to clean the area."
2017-08-21 Snippet(s)
Neutral
"The training programme includes equality diversity and human rights information governance and conflict resolution training."
2017-08-21 Snippet(s)
Positive
"• Its complaint policy and procedures were in line with recognised guidance and contractual obligations for GPs in England."
Positive
"• All staff had received a half day training in complaint management."
Positive
"For example following one complaint around care and treatment received a significant event analysis was undertaken."
Neutral
"We found the learning points from each complaint had been recorded and communicated to the team or appropriate action taken."