What is the Quality of Safety at The Practice Harehills Corner

Positive

"There was limited fire evacuation signage on the first floor which directly indicated the exterior fire escape."

Positive

"• Fire evacuation signage which indicated escape routes on the first floor was limited."

Positive

"• Structures processes and systems to support good governance and management were clearly set out understood and effective."

Positive

"The parent organisation offers key support to individual practices which include: • Human resources • Legal • Clinical and information governance • IT support • Facilities management Support is available to the practice at both a regional and a national level."

Positive

"Governance arrangements There were clear responsibilities roles and systems of accountability to support good governance and management."

Positive

"The governance and management of partnerships joint working arrangements and shared services promoted coordinated personcentred care."

Positive

"Governance arrangements The practice had an effective governance framework to support the delivery of the strategy and good quality care to patients."

Positive

"The practice manager and the governance lead at head office took an active leadership role in overseeing the systems were consistently being used and were effective."

Positive

"This included: fire safety awareness information governance safeguarding vulnerable adults and children and equality and diversity."

Positive

"There was a clinical governance and quality assurance policy in place."

Neutral

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

Neutral

"There was an electronic system ‘Connect’ which recorded governance and enabled the practice and head office to monitor risks and improve performance."

Positive

"• Clinical audit had a positive impact on quality of care and outcomes for patients."

Positive

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

Positive

"• The practice considered and understood the impact on the quality of care of service changes or developments."

Positive

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

Positive

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

Positive

"Consultations took place in rooms which gave patients privacy and dignity."

Positive

"• The practice had an up to date fire risk assessment and staff had received mandatory fire safety training."

Positive

"Track record on safety The practice overall had a good track record on safety however a number of issues were identified during the inspection."

Positive

"The practice learned and shared lessons identified themes and took action to improve safety in the practice."

Positive

"• Continue to review the oversight of fire safety and clinical waste arrangements."

Positive

"All staff received uptodate safeguarding and safety training appropriate to their role."

Positive

"• The practice acted on and learned from external safety events as well as patient and medicine safety alerts."

Positive

"Practice leaders had oversight of safety alerts incidents and complaints."

Positive

"At this inspection we found: • The practice had arrangements to manage risk so that safety incidents were less likely to happen."

Positive

"• There were comprehensive health and safety risk assessments and legionella assessments in place."

Positive

"The cleaner’s cupboard was found to be unlocked and this contained a chemical which had not had a chemical safety assessment made for its usage."

Positive

"This helped it to understand risks and gave a clear accurate and current picture of safety that led to safety improvements."

Positive

"• Where incidents had been identified relating to safety staff had been made aware of the outcome and action taken where appropriate to keep patients and staff safe."

Positive

"Learning and improvement from safety incidents The Practice had a system in place for reporting recording and monitoring significant events and there were up to date policies in place."

Positive

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

Positive

"Monitoring safety and responding to risk The Practice Harehills Corner responded to and managed risks."

Positive

"This included: fire safety awareness information governance safeguarding vulnerable adults and children and equality and diversity."

Positive

"The practice had a health and safety emergency evacuation procedure in place."

Positive

"Reliable safety systems and processes including safeguarding There were policies and protocols for safeguarding vulnerable adults and children."

Positive

"One doctor’s bag was checked and we found the contents were safety sealed and in date."

Positive

"A system was in place to respond to safety alerts from external sources which may have implications or risk for the practice."

Positive

"We were able to review staff training records and we saw that this covered a wide range of topics such as equality and diversity health and safety and infection control."

Positive

"• Staff took steps including working with other agencies to protect patients from abuse neglect harassment discrimination and breaches of their dignity and respect."

Positive

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

Positive

"• Staff involved and treated patients with compassion kindness dignity and respect."

Positive

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

Positive

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

Positive

"• Staff took steps including working with other agencies to protect patients from abuse neglect harassment discrimination and breaches of their dignity and respect."

Positive

"• Staff were clear on their roles and accountabilities including in respect of safeguarding and infection prevention and control."

Positive

"For example the practice had actively planned responses in respect to some below average patient satisfaction responses in the national GP patient survey."

Positive

"Patients at the practice told us they were treated with kindness dignity respect and compassion whilst they received care and treatment."

Positive

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

Positive

"Patients reported that staff treated them with dignity and respect and they were given support and information to cope emotionally with any care or treatment."

Positive

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

Positive

"We saw there was a notice in reception about courtesy and respect when patients were waiting to book in."

Positive

"We saw the reception staff treated people with respect and ensured conversations were conducted in a confidential manner."

Positive

"• The practice actively promoted equality and diversity."

Neutral

"• We saw no evidence of discrimination when making care and treatment decisions and staff had received mandatory equality and diversity training."

Neutral

"Staff had received equality and diversity training."

Positive

"Tackling inequity and promoting equality Patients who needed extra support because of their complex needs were allocated double appointments."

Positive

"This included: fire safety awareness information governance safeguarding vulnerable adults and children and equality and diversity."

Positive

"We were able to review staff training records and we saw that this covered a wide range of topics such as equality and diversity health and safety and infection control."

Positive

"Since the inspection the practice has sent us evidence that a new template for complaint letters had been introduced which contained full complaint escalation details."

Positive

"• Information about how to make a complaint or raise concerns was available."

Positive

"• The complaint policy and procedures were in line with recognised guidance."

Positive

"It was noted that when we checked complaint correspondence in one instance the letter had not included the details of the Parliamentary and Health Service Ombudsman should the complainant have wished to escalate their concern."

Positive

"The patients we spoke with were happy with the care they received at the practice and they knew how to make a complaint should they need to."

Positive

"• Quality and sustainability were discussed in relevant meetings where all staff had sufficient access to information."

Positive

"Monitoring care and treatment The practice had a comprehensive programme of quality improvement activity and routinely reviewed the effectiveness and appropriateness of the care provided."

Positive

"• The practice was actively involved in quality improvement activity."

Positive

"• All areas of the surgery were visibly clean and where issues had been identified relating to infection control action was being taken."

Neutral

"The GPs and nurses had lead roles such as medicine lead and infection control lead."

Neutral

"Cleanliness and infection control The practice had an infection control policy and guidelines in place."

Neutral

"We found that the team were allocated lead roles for example the healthcare assistant was the lead for infection control and the GP was the lead for safeguarding."

Positive

"There was a clinical governance and quality assurance policy in place."