What is the Quality of Safety at The New Folly Surgery

Positive

"Some improvements were needed: • There were no health and safety risk assessments fire safety risk assessments or legionella risk assessment in place."

Positive

"However risk assessments had not been carried out for health and safety the risk of fire and legionella."

Positive

"• No health and safety risk assessments had been carried out to identify and manage risks to patients and staff."

Positive

"Learning from these was shared and reviewed to improve safety and patient’s experience."

Positive

"There were no health and safety risk assessments to identify and manage risks to patients and staff."

Positive

"There were no fire safety risk assessments in place."

Positive

"Safety incidents and near misses were investigated through a process of reporting investigating and reviewing significant safety events."

Positive

"We reviewed seven significant events and found that these had been reported on using a standard template which included a description of the event risks to the safety of patients and the actions taken to address these risks and prevent similar occurrences."

Positive

"Overview of safety systems and processes The practice had clearly defined and embedded systems processes and practices in place to keep people safe."

Positive

"This includes identifying and managing risks to the health and safety of patients and staff."

Positive

"There were systems in place for the receipt and sharing of safety alerts received from the Medicines and Healthcare Products Regulatory Agency MHRA."

Positive

"These alerts have safety and risk information regarding medication and equipment."

Positive

"Staff we spoke with were aware of the process for reporting safety incidents and their responsibilities to do so."

Positive

"• There was appropriate fire safety equipment including alarms and fire extinguishers located throughout the practice."

Positive

"Following our inspection we were provided with evidence that training was booked for staff and an external fire safety audit was planned."

Positive

"• Staff had access to training including safeguarding vulnerable adults and children fire safety infection control and basic life support."

Positive

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

Positive

"Patients’ privacy was maintained during consultations and treatment and information in respect of patients was treated confidentially."

Positive

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

Positive

"One practice nurse was the infection control clinical lead and they took responsibility for overseeing infection control procedures within the practice."

Positive

"• Staff had access to training including safeguarding vulnerable adults and children fire safety infection control and basic life support."

Neutral

"Staff received infection control training."

Positive

"We observed throughout the inspection that members of staff were polite and helpful to patients both attending at the reception desk and on the telephone and that people were treated with dignity and respect."

Positive

"• Patients said they were treated with dignity and respect and they were involved in their care and decisions about their treatment."

Positive

"• They were treated kindly with dignity and respect."

Positive

"Patients’ privacy was maintained during consultations and treatment and information in respect of patients was treated confidentially."

Positive

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

Positive

"Information clearly described how patients could make complaints and raise concerns what the practice would do and how patients could escalate their concerns should they remain dissatisfied about the outcome or how their complaint had been handled."

Positive

"Governance arrangements The practice had an overarching governance framework to support the delivery of good quality care."

Positive

"This included training in safeguarding and information governance handling confidential and sensitive information and an opportunity for new staff to familiarise themselves with the practice policies and procedures."

Neutral

"This included safeguarding and information governance training and helped new staff to familiarise themselves with the practice policies and procedures."