Safety

Privacy

Latest Snippet(s)

Positive

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

Neutral

"Although we noted the frequency of changing privacy curtains had not been detailed in the infection prevention and control policy."

2017-09-26 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."

2016-03-03 Snippet(s)

Positive

"They also 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."

Safety

Latest Snippet(s)

Positive

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

Positive

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

Positive

"• The practice had implemented a system to ensure safety alerts were disseminated and acted on."

Positive

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

Positive

"• Practice leaders had established proper policies procedures and activities to ensure safety and assured themselves that they were operating as intended."

Positive

"Practice leaders had oversight of national and local safety alerts incidents and complaints."

Positive

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

Positive

"The initial audit showed red flags negative examination findings and safety netting advice were not recorded in sufficient detail."

Positive

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

Neutral

"• The practice had clear systems to manage risk so that safety incidents were less likely to happen."

2017-09-26 Snippet(s)

Positive

"• From the sample of documented examples we reviewed we found there was a system for reporting and recording significant events; lessons were shared to make sure action was taken to improve safety in the practice."

Positive

"• We saw evidence that lessons were shared and action was taken to improve safety in the practice."

Positive

"The arrangements for managing medicines including emergency medicines and vaccines in the practice assessed risks to patient safety including obtaining prescribing recording storing and disposal."

Positive

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

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

"• We reviewed safety records incident reports and minutes of meetings where significant events were discussed."

Positive

"For example a safety alert relating to women of childbearing age taking a medicine used to treat epilepsy and bipolar disorder had not been followed up."

Positive

"• Risks to patients were assessed and well managed with the exception of those relating to managing safety alerts the monitoring of patients taking lithium and tracking blank prescription forms."

Positive

"For example managing safety alerts monitoring patients on high risk medicines and tracking blank prescription forms."

Positive

"• Most risks to patients were assessed and well managed with the exception of those relating to managing safety alerts and the monitoring of patients taking lithium."

Positive

"• Patient safety alerts were received by the GPs practice nurse and the practice manager."

Positive

"However these were not managed safely as there was no system to ensure action was taken and patients affected by safety alerts were reviewed."

Positive

"Overview of safety systems and processes The practice had clearly defined and embedded systems processes and practices in place to minimise risks to patient safety."

Positive

"• There was a health and safety policy available."

Positive

"• Staff received training that included: safeguarding fire safety awareness infection prevention and control basic life support the mental capacity act chaperoning and information governance."

Neutral

"Following our inspection the practice outlined their plan to contact the patients affected and provide advice in line with the safety alerts."

Neutral

"This covered such topics as safeguarding infection prevention and control fire safety health and safety and confidentiality."

Neutral

"In particular: There was no system in place to manage and act on safety alerts."

2016-03-03 Snippet(s)

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."

Positive

"Our key findings across all the areas we inspected were as follows: • There was an open and transparent approach to safety and an effective system in place for reporting and recording significant events."

Positive

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

Positive

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

Positive

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

Positive

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

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 with a poster in the reception office which identified local health and safety representatives."

Positive

"The practice had systems in place for knowing about notifiable safety incidents."

Positive

"When there were unexpected or unintended safety incidents: • The practice gave affected people reasonable support truthful information and a verbal and written apology."

Neutral

"It covered such topics as safeguarding infection prevention and control fire safety health and safety and confidentiality."

Abuse

Latest Snippet(s)

Positive

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

2017-09-26 Snippet(s)

Positive

"• Staff were able to recognise the signs of abuse in older patients and knew how to escalate any concerns."

2016-03-03 Snippet(s)

Positive

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

Diet

2017-09-26 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."

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 recognised the importance of people’s dignity and respect."

Positive

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

2017-09-26 Snippet(s)

Positive

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

Positive

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

Positive

"• Results from the national GP patient survey showed patients were treated with compassion dignity and respect and were involved in their care and decisions about their treatment."

Positive

"• Survey information we reviewed showed that patients said they were treated with compassion dignity and respect and they were involved in decisions about their care and treatment."

Positive

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

Positive

"• We saw staff treated patients with kindness and respect and maintained patient and information confidentiality."

Positive

"We issued a requirement notice to the provider in respect of staffing."

Positive

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

2016-03-03 Snippet(s)

Positive

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

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

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

Positive

"Results from the national GP patient survey showed patients felt they were treated with compassion 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."

Equality

Latest Snippet(s)

Positive

"• The practice actively promoted equality and diversity."

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."

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."

2017-09-26 Snippet(s)

Positive

"• An overarching governance framework supported the delivery of the strategy and good quality care."

Positive

"Governance arrangements The practice had an overarching governance framework which supported the delivery of the strategy and good quality care."

Neutral

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

2016-03-03 Snippet(s)

Positive

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

Positive

"Governance arrangements The practice had an overarching governance framework which supported the delivery of the strategy and good quality care."

Neutral

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

Neutral

"• Staff received training that included: safeguarding fire procedures and basic life support and information governance awareness."

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 was actively involved in quality improvement activity."

2017-09-26 Snippet(s)

Positive

"• There was evidence of quality improvement activity including clinical audit."

Positive

"• There was evidence of quality improvement activity including clinical audits."

Quality of Care

Latest Snippet(s)

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."

2017-09-26 Snippet(s)

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."

2016-03-03 Snippet(s)

Positive

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

Control of Infection

2017-09-26 Snippet(s)

Positive

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

2016-03-03 Snippet(s)

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 nurse was the infection control clinical lead who liaised with the local infection prevention teams to keep up to date with best practice."

Neutral

"There was an infection control protocol in place and staff had received up to date training."

Neutral

"Annual infection control audits were undertaken and we saw evidence that action was taken to address any improvements identified as a result."

Visitors

Quality of Service

2016-03-03 Snippet(s)

Positive

"All patients were complimentary about the practice staff who worked there and the quality of service and care provided."