Safety

Privacy

Latest Snippet(s)

Positive

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

2015-11-19 Snippet(s)

Positive

"There was a separate room in the treatment rooms with privacy curtains to maintain patients’ privacy and dignity during examinations investigations and treatments."

Neutral

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

Safety

Latest Snippet(s)

Positive

"▪ The use of the templates aimed to improve safety efficiency and allow the practice to be more responsive."

Positive

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

Positive

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

Positive

"▪ The templates also promoted patient safety with prompts for clinicians during and after the consultations to ensure referrals and investigations were completed."

Positive

"We were told that this reduced variability in using read codes as well as improving the safety of work carried out by new members of staff clinical trainees and locums."

Positive

"The templates also promoted patient safety with prompts for clinicians during and after the consultations to ensure referrals and investigations were completed."

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

"This helped to reduce variability in using read codes as well as improving the safety of work carried out by new members of staff clinical trainees and locums."

Positive

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

Positive

"• Practice leaders 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

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

Positive

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

Positive

"We saw evidence of paper copies of safety alerts being circulated practice wide."

Positive

"The National Reporting and Learning System is a central database of patient safety incident reports."

Neutral

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

2015-11-19 Snippet(s)

Positive

"It had a clear vision with quality and patient safety as its priority."

Positive

"Lessons were shared to make sure action was taken to improve safety in the practice National patient safety alerts were monitored by the assistant practice manager who sent them to a nominated GP who told us would undertake a risks assessment and identifies any actions required."

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 practice had been involved in CCG pilots such as winter access additional GP access or services over the winter using funding allocated to the NHS for winter pressures and breaking the cycle to improve patient flow by producing a stepchange in performance safety and patient experience."

Positive

"One GP partner told us that communication was important within the practice to enable staff to understand patient safety priorities."

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

"However no health and safety risk assessment had been undertaken for the premises."

Positive

"However there was no health and safety risk assessment."

Positive

"Information about safety was recorded and addressed."

Positive

"A health and safety risk assessment for the premises had not been completed to identify any risks or areas for improvement."

Positive

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

Positive

"Reliable safety systems and processes including safeguarding There were arrangements in place to safeguard adults and children from abuse that reflected relevant legislation and local requirements and policies were accessible to all staff."

Neutral

"Importantly the provider should: • Ensure a health and safety risk assessment for the premises is completed and an action plan implemented in accordance with the findings."

Neutral

"However the practice should ensure a health and safety risk assessment for the premises is completed and an action plan implemented in accordance with the findings."

Neutral

"Evidence reviewed showed that: • The practice had an induction programme for newly appointed nonclinical members of staff that covered such topics as fire safety infection prevention and control safeguarding health and safety and information governance."

Abuse

Latest Snippet(s)

Positive

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

2015-11-19 Snippet(s)

Positive

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

Positive

"Reliable safety systems and processes including safeguarding There were arrangements in place to safeguard adults and children from abuse that reflected relevant legislation and local requirements and policies were accessible to all staff."

Control of Infection

Latest Snippet(s)

Positive

"The annual infection control statement was produced and shared with all staff."

Diet

Visitors

Latest Snippet(s)

Neutral

"• The health visitor attended a monthly meeting to discuss families and individuals with safeguarding concerns."

2015-11-19 Snippet(s)

Neutral

"The GP attended monthly safeguarding meetings with the health visitor and school nurse."

Signage

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

2015-11-19 Snippet(s)

Positive

"They told us they were treated with kindness compassion dignity and respect whilst they received care and treatment."

Positive

"Results from survey showed patients were happy with how they were treated and that this was with compassion dignity and respect."

Positive

"• Patients told us they were treated with kindness warmth compassion and respect by staff."

Positive

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

Positive

"We observed positive interactions in the reception area and saw staff treated patients with kindness and warmth."

Positive

"The practice was innovative and proactive with respect to providing online access and identifying patient demand for appointments."

Positive

"Common themes from patients were they felt they were treated with dignity and respect were listened to and involved in their treatment."

Positive

"There was a separate room in the treatment rooms with privacy curtains to maintain patients’ privacy and dignity during examinations investigations and treatments."

Equality

Latest Snippet(s)

Positive

"• The practice actively promoted equality and diversity."

2015-11-19 Snippet(s)

Positive

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

Complaints

Latest Snippet(s)

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."

2015-11-19 Snippet(s)

Positive

"Patients we spoke with told us they did not have any complaints but knew how to make a complaint should they need to."

Positive

"The complaints policy clearly outlined a time framework for when the complaint would be acknowledged and responded to."

Positive

"Information about how to make a complaint was available on the practice website and in a practice leaflet."

Governance

Latest Snippet(s)

Positive

"• The leadership governance and culture were used to drive and improve the delivery of highquality personcentred care and were clear supportive and encouraged creativity."

Positive

"The practice was rated as outstanding for well led because: • The leadership governance and culture were used to drive and improve the delivery of highquality personcentred care."

Positive

"• The practice was organised efficient had effective governance processes and a culture which was embedded effectively and used to drive and improve the delivery of highquality personcentred care."

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 coordinated personcentred care."

2015-11-19 Snippet(s)

Positive

"Governance arrangements The practice had good governance arrangements in place to ensure risks were identified understood and managed appropriately."

Positive

"These included staffing information governance clinical governance complaints significant events safeguarding and business management."

Sustainability

Latest Snippet(s)

Positive

"A new structure was devised to ensure the future sustainability and progress of the organisation."

Positive

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

Positive

"This demonstrated showing awareness of local and national pressures and taking responsibility for the long term sustainability of the practice."

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."

Quality of Care

Latest Snippet(s)

Positive

"• There was strong collaboration and support across all staff teams and a common focus on improving quality of care and people’s experiences."

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."

2015-11-19 Snippet(s)

Positive

"The practice ethos was to deliver the best quality of care to everyone."

Positive

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

Quality of Life

2015-11-19 Snippet(s)

Positive

"They work with older people to enable them to improve their quality of life combat loneliness and reduce isolation by providing activities such as Armchair Exercise and Lunches and Sharing Memories is a registered local charity in Holme Valley."