What is the Quality of Safety at Beech House Surgery

Positive

"Overview of safety systems and processes The practice had some 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 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 • The practice proactively sought feedback from staff patients and attached staff which it acted on."

Positive

"• Lessons were shared to make sure action was taken to improve safety in the practice."

Positive

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

Positive

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

Positive

"Our key findings across all the areas we inspected were as follows: • There was an open and transparent approach to safety and a new system in place for reporting and recording significant events."

Positive

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

Positive

"Systems were in place to disemminate safety alerts."

Positive

"There was a health and safety policy available."

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

"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 nurse was the infection control lead supported by the Practice Manager and Reception Team Leader all of whom had assigned areas of responsibility."

Positive

"• Monitor the improved infection control arrangements."

Positive

"They had completed infection control training but the infection control lead told us they had not completed any formal training to support them in this role."

Neutral

"There was an infection control protocol in place and most staff had received up to date training relevant to their role."

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

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

Positive

"Results from the national GP patient survey showed patients felt they were treated with compassion dignity and respect."

Positive

"For example recent action taken in respect of the management of venuous legal ulcers which showed improved management for the patients involved."

Positive

"Another example included action the practice had taken following a protected learning time event aimed at GPs in respect of the correct and effective management of venous leg ulcers."

Positive

"• We saw staff treated patients with kindness and respect."

Positive

"Patients said they were well cared for and treated with dignity and respect."

Positive

"• The practice kept patients up to date in respect of the practice via the practice website via the practice TV and a newsletter."

Positive

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

Positive

"For example we saw a full review had taken place and action taken following a significant event in respect of a prescribing error."

Positive

"For example the practice was unable to provide evidence of action taken in respect of a recent medicine alert."

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

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

Positive

"Overview of safety systems and processes The practice had some 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

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

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."

Positive

"• Information on how to make a complaint was available on the practice website but not advertised within the practice."

Positive

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

Neutral

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

Positive

"Governance arrangements The practice had an overarching governance framework that was being revisited developed and embedded to further support the delivery of the strategy and good quality care."

Positive

"The practice planned to monitor the impact of the changes and the sustainability on the workforce of these changes."

Positive

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