What is the Quality of Safety at The Loxford Practice

Positive

"Kindness respect and compassion Staff treated patients with kindness respect and compassion."

Positive

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

Positive

"Our key findings were as follows: • Staff treated patients with kindness respect and dignity."

Positive

"• Staff recognised the importance of patients’ dignity and respect."

Positive

"Kindness dignity respect and compassion We observed members of staff were courteous and very helpful to patients and treated them with dignity and respect."

Positive

"Patients said they felt the new provider of services at the practice offered an excellent 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

"• 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."

Positive

"This inspection was carried out to review in detail the actions taken by the practice to improve the quality of care and to confirm that the practice was now meeting legal requirements."

Positive

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

Positive

"This recognises the significant improvements made to the quality of care provided by the service."

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."

Positive

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

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."

Neutral

"The practice had a sign in the reception area asking patients who were also carers to make themselves known to practice staff."

Positive

"Amongst our concerns was the lack of timeliness in issuing repeat prescriptions the lack of fire safety and legionella assessments lack of adequately trained fire marshalls the lack of clinical staff on site and lack of regular appraisals for nonclinical staff."

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 notifiable safety incidents and ensured this information was shared with staff to ensure appropriate action was taken."

Positive

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

Positive

"The results of the audits were discussed in clinical meetings and agreed that this would be an ongoing practice audit to be run every three months to ensure that the practice can monitor their quality and safety in prescribing Methotrexate."

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

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

Positive

"An Operations Manager was recruited as part of the changes implemented by the new providers to monitor performance in terms of quality safety and patient experience."

Positive

"This included support 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 which identified local health and safety representatives."

Positive

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

Neutral

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

Positive

"Practice staff were aware of their duty to safeguard children and vulnerable adults from risk of abuse and were appropriately trained and knew the procedure for dealing with concerns."

Positive

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

Positive

"Overview of safety systems and process The practice had clearly defined and embedded systems processes and practices in place to keep patients safe and safeguarded from abuse which included: • Arrangements 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 term for a particular bacterium which can contaminate water systems in buildings."

Positive

"One of the practice nurses 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."

Positive

"We viewed a complaint to the practice from a patient who was unhappy with the length of time it took for their telephone call to be answered."

Positive

"On receipt of the complaint the practice sent an acknowledgement letter to the complainant stating that the practice would look at the complaint in depth and make contact once the practice had completed its investigation."

Positive

"The complaint was discussed with the reception team who were reminded of the importance of answering calls within the agreed timescales to help manage patient expectations."

Positive

"This complaint was received shortly after the new providers had taken over."

Positive

"Since the receipt of this complaint the practice has purchased a new telephone system designed to cope with high volumes of calls."

Positive

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

Positive

"The overarching governance framework supported the delivery of the strategy and good quality care at The Loxford Practice."

Neutral

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

Positive

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