What is the Quality of Safety at Crosland Moor Surgery

Positive

"They also told us they were highly 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."

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

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

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 bacterium which can contaminate water systems in buildings."

Positive

"Overview of safety systems and processes The practice had clearly defined and embedded systems processes and practices in place to keep patients safe and safeguarded from abuse which included: • Arrangements were in place to safeguard children and vulnerable adults from abuse."

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

"The practice had systems for being aware of notifiable safety incidents and sharing the information with staff and ensuring appropriate action was taken."

Positive

"This included support and training for all staff on communicating with patients about notifiable safety incidents."

Positive

"We reviewed safety records incident reports 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

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

Neutral

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

Positive

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

Positive

"Overview of safety systems and processes The practice had clearly defined and embedded systems processes and practices in place to keep patients safe and safeguarded from abuse which included: • Arrangements were in place to safeguard children and vulnerable adults from abuse."

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 bacterium which can contaminate water systems in buildings."

Positive

"Policy leads in areas such as safeguarding infection control and chronic disease were identified and monitored."

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

"• 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 also told us they were highly 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

"The arrangements in respect of learning from significant events maintenance of training and cleaning records and appropriately detailed records of meetings within the practice were not sufficient."

Positive

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

Positive

"Overall the practice had recorded seven incidents of complaint including verbal and written complaints."

Positive

"A complaint regarding late running clinics led to extra capacity being incorporated into the appointment system to allow clinicians to ‘catch up’ during the surgery."

Neutral

"For example following a complaint about a delay in replying to a request for information from an insurance company changes were made to administrative process to ensure requests were Are services responsive to people’s needs?"

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."

Positive

"The provider had demonstrated improvement since the last inspection and developed effective governance and clinical audit systems."

Positive

"At this inspection we saw that improvements had been made to the governance of the practice and services are now rated as good."

Positive

"This was because some governance systems were not effectively managed."

Positive

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

Neutral

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

Positive

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

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."