What is the Quality of Safety at The Smithy Surgery

Positive

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

Positive

"Results from the national GP patient survey showed patients were happy with how they were treated and that this was with compassion 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

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

Positive

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

Positive

"We observed examples of good interaction between patients and staff and noted that staff treated patients with respect and kindness and protected their dignity and confidentiality."

Positive

"Our findings Respect dignity compassion and empathy Patients and those close to them were treated with respect."

Positive

"Staff were able to tell us about the values and ethos of the practice including the importance of compassion dignity respect and equality."

Positive

"Patients who used the services commented that they had always been treated with dignity and respect by staff including the doctors nurses and receptionists."

Positive

"All the patients we spoke to during our inspection were very complimentary about the service and said they were treated with dignity and respect."

Positive

"Staff in all roles put treating people with dignity at the heart of their work."

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 basic life support and information governance awareness."

Positive

"These arrangements were supported by clinical governance and quality checks audits that demonstrated safe effective responsive and wellled services continued to be provided."

Positive

"This supported the governance and quality assurance measures taken at the practice and enabled staff to review and improve the quality of the services provided."

Positive

"The practice had governance processes in place to monitor the quality of the service."

Neutral

"There are appropriate governance and risk management measures in place."

Neutral

"Identification and management of risk The governance and quality assurance arrangements at the practice enabled risk to be identified and effectively managed."

Positive

"The NHS Friends and Family Test FFT give every patient the opportunity to feed back on the quality of care they have received."

Positive

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

Positive

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

Positive

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

Positive

"The Smithy Surgery provided suitable and appropriately equipped reception consulting and treatment rooms to meet the needs of patients which included addressing the need for respecting privacy and dignity."

Positive

"• There were system in place for reporting and recording significant events • When there are unintended or unexpected safety incidents people receive reasonable support truthful information a verbal and written apology and are told about any actions to improve processes to prevent the same thing happening again."

Positive

"Information about safety was recorded monitored appropriately reviewed and addressed."

Positive

"The practice had systems in place for knowing about notifiable safety incidents • The practice proactively sought feedback from staff and patients which it acted on."

Positive

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

Positive

"There was a health and safety policy available."

Positive

"The practice also had a variety of other risk assessments in place to monitor safety of the premises such as infection control."

Positive

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

Positive

"When there were unexpected or unintended safety incidents: • The practice gives affected people reasonable support truthful information and a verbal and written apology • They kept written records of verbal interactions as well as written correspondence."

Neutral

"• The practice had an induction programme for newly appointed members of staff that covered such topics as safeguarding infection prevention and control fire safety health and safety and confidentiality."

Positive

"Dealing with Emergencies There was a proactive approach to anticipating potential safety risks including changes in demand disruption to staffing or facilities or periodic incidents such as bad weather or illness."

Positive

"These included health and safety at work Reporting of Injuries Diseases and Dangerous Occurrences Regulations RIDDOR emergency incidents fire safety and infection control."

Positive

"We also saw that there were arrangements in place for reporting safety incidents and allegations of abuse which were in line with national and statutory guidance."

Positive

"It was clear who was responsible for making specific decisions especially decisions about the provision safety and adequacy of the care provided at practice level and this was aligned to risk."

Positive

"When safety alerts came in they were reviewed by the practice manager then passed on to the appropriate GP Partner or nurse staff member as necessary."

Positive

"We saw audits in areas such as the infection prevention and control health and safety and clinical audits."

Positive

"We looked at the documentation relating to a range of checks such as clinical audits infection control audits and health and safety checks in particular for fridges."

Neutral

"Monitoring safety and responding to risk We looked at staff personnel files in relation to safe recruitment practices."

Positive

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

Positive

"We also saw that there were arrangements in place for reporting safety incidents and allegations of abuse which were in line with national and statutory guidance."

Positive

"Safeguarding The practice was able to identify the things that were most important to protect people from abuse and to promote safety."

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."

Positive

"We looked at the documentation relating to a range of checks such as clinical audits infection control audits and health and safety checks in particular for fridges."

Neutral

"Cleanliness and infection control There were effective systems in place to reduce the risk and spread of infection."

Positive

"This supported the governance and quality assurance measures taken at the practice and enabled staff to review and improve the quality of the services provided."

Neutral

"Identification and management of risk The governance and quality assurance arrangements at the practice enabled risk to be identified and effectively managed."

Positive

"Staff had access to the necessary equipment and were trained in its use and carried out timely medical investigations when these were required Management monitoring and improving outcomes for people The practice had an effective system to regularly assess and monitor the quality of service that people received."