What is the Quality of Safety at Church Street Surgery

Positive

"The PPG members told us they were satisfied with the care provided by the practice and that 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

"• The practice had a variety of other risk assessments 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 for being aware of notifiable safety incidents sharing the information with staff and ensuring that appropriate action was taken."

Positive

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

Positive

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

Positive

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

Positive

"• We viewed the system for acting on patient safety alerts."

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

"We saw that health and safety risk assessments were carried out and that action was taken to rectify any issues that had been identified."

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."

Neutral

"• We saw that significant events complaints and patient safety alerts were standing agenda items at meetings both at practice and WFHP Board level."

Positive

"• Staff whom we interviewed knew how to recognise signs of abuse in children young people and adults whose circumstances may make them vulnerable."

Positive

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

Positive

"• The practice had a variety of other risk assessments 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

"For example infection control processes Legionella and fire risk assessments."

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."

Neutral

"• Patients could sign up to receive text messages for appointment reminders."

Positive

"Most patients said that they considered that the practice offered an excellent service and that staff were helpful caring and treated them with dignity and respect."

Positive

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

Positive

"The PPG members told us they were satisfied with the care provided by the practice and that their dignity and privacy was respected."

Positive

"• We saw that 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

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

Positive

"Many of the governance and oversight functions were carried out in conjunction with the WFHP."

Positive

"Many of the governance and oversight responsibilities are undertaken by the WFHP."

Neutral

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

Positive

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

Positive

"The practice actively reviewed complaints and made improvements were made to the quality of care as a result."