What is the Quality of Safety at Kepier Medical Practice

Positive

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

Positive

"However the practice did not have a formal system in place for carrying out cleaning audits nor for ensuring the privacy curtains in consultation rooms were replaced quarterly in line with their own policy or six monthly in line with recommended guidance."

Positive

"• The practice cleaning schedule stated that the privacy curtains around consultation couches should be cleaned on a quarterly basis yet staff told us that they were only changed annually or if they were stained or visibly dirty."

Positive

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

Positive

"The practice had a variety of other risk assessments in place to monitor safety of the premises such as control of substances hazardous to health and infection control and legionella Legionella is a term for a particular bacterium which can contaminate water systems in buildings."

Positive

"The practice had systems in place for knowing about notifiable safety incidents and ensured this information was shared with staff to ensure appropriate action was taken The practice proactively sought feedback from staff and patients which it acted on."

Positive

"When there were unintended or unexpected safety incidents patients received reasonable support truthful information an apology if appropriate and were told about any actions to improve processes to prevent the same thing happening again."

Positive

"This included basic life support health and safety infection control information governance safeguarding and appropriate clinical based training for clinical staff."

Positive

"Lessons were shared to make sure action was taken to improve safety in the practice."

Positive

"Staff understood and fulfilled their responsibilities with regard to raising concerns recording safety incidents and reporting them both internally and externally."

Positive

"When there were unintended or unexpected safety incidents patients received reasonable support truthful information and verbal or written apologies."

Positive

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

Positive

"There was a health and safety policy available and staff were aware of their roles and responsibilities in relation to this."

Positive

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

Neutral

"• Participating in the BIG project a programme to support men and women who are the perpetrators of domestic abuse • Hosting representatives from the Citizens Advice Bureau and local emotional and mental health support service on a weekly basis Are services wellled?"

Positive

"The practice had a variety of other risk assessments in place to monitor safety of the premises such as control of substances hazardous to health and infection control and legionella Legionella is a term for a particular bacterium which can contaminate water systems in buildings."

Positive

"The practice was clean and hygienic and good infection control arrangements were in place."

Positive

"This included basic life support health and safety infection control information governance safeguarding and appropriate clinical based training for clinical staff."

Neutral

"• The practice nurse was the infection control lead and carried out infection control audits details of which were recorded on the practice intranet system where they could be viewed by all members of staff."

Positive

"Patients experiencing poor mental health were sign posted to various support groups and third sector organisations such as local wellbeing and psychological support services."

Positive

"The practice had a hearing loop and one of the staff members was able to communicate in sign language • All patient facilities were easily accessible to patients with a mobility issue."

Positive

"Patients we spoke with during the inspection and those that completed Care Quality Commission comments cards said they were treated with compassion dignity and respect and they felt involved in decisions about their care and treatment."

Positive

"Patients said they felt the practice offered a good service and staff were helpful caring and treated them with dignity and respect."

Positive

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

Positive

"• The majority of patients said they were treated with compassion dignity and respect."

Positive

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

Positive

"• The practice was aware of patient dissatisfaction in respect of the appointment system and access to appointments but were taking steps to try and improve."

Positive

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

Positive

"They reported that they had no concerns in respect of the practice."

Positive

"There was an overarching governance framework which supported the delivery of the strategy and good quality care."

Positive

"This identified practice priorities aims and objectives and also included evidence of workforce succession planning Governance arrangements The practice had an overarching governance framework which supported the delivery of the strategy and good quality care."

Positive

"This included basic life support health and safety infection control information governance safeguarding and appropriate clinical based training for clinical staff."

Neutral

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

Positive

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