What is the Quality of Safety at Inclusion Healthcare Social Enterprise CIC

Positive

"All told us they were satisfied with the care provided by the practice and said their dignity and privacy was respected."

Positive

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

Neutral

"Staff and patients told us that all consultations and treatments were carried out in the privacy of a consulting room."

Positive

"The practice had a clear vision which had quality and safety as its top priority."

Positive

"All staff were fully trained on the system and commented positively about the system’s safety and ease of use."

Positive

"Information about safety was highly valued and was used to promote learning and improvement."

Positive

"Heparin is used as an anticoagulant in the treatment of blood clots The GPs told us clinical audits were often linked to medicines management information safety alerts or as a result of information from the quality and outcomes framework QOF."

Positive

"Learning and improvement from safety incidents The practice had a system in place for reporting recording and monitoring significant events incidents and accidents."

Positive

"Risks were treated like significant events; they were all logged separately for health and safety one for the location or satellite location."

Positive

"Information was shared with commissioners and the drug and alcohol team as a safety alert."

Positive

"For example reported incidents national patient safety alerts as well as comments and complaints received from patients."

Positive

"All incidents and alerts were collated and reviewed at the six monthly clinical governance meetings which ensured that lessons were learnt and staff were kept updated.. We reviewed safety records and incident reports and minutes of meetings where these were discussed."

Positive

"This incident led to changes at the practice and the information was shared with commissioners and the drug and alcohol team as a safety alert."

Positive

"National patient safety alerts were disseminated by the Chief Executive Officer and lead GP to practice staff."

Positive

"Reliable safety systems and processes including safeguarding The practice had systems to manage and review risks to vulnerable children young people and adults."

Positive

"The practice also had a health and safety policy."

Neutral

"Our key findings were as follows: • Patients were kept safe because there were arrangements in place for staff to report and learn from safety risks."

Positive

"Diabetes is made worse by levels of alcohol abuse and mental health problems."

Positive

"The practice had the opportunity to monitor this group of patients as the condition was made worse by levels of alcohol abuse and mental health problems."

Positive

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

Positive

"Staff knew how to recognise signs of abuse in working age people vulnerable adults and children."

Positive

"An infection control policy and supporting procedures were available for staff to refer to which enabled them to plan and implement control of infection measures."

Neutral

"The practice had a lead for infection control who had undertaken further training to enable them to provide advice on the practice infection control policy and carry out staff training."

Neutral

"All staff received induction training about infection control specific to their role and there after annual updates."

Positive

"For example personal protective equipment including disposable gloves aprons and coverings were available for staff to use and staff were able to describe how they would use these in order to comply with the practice’s infection control policy for example if a patient vomited."

Neutral

"For example there was a lead nurse for infection control and the senior partner was the lead for safeguarding."

Neutral

"Hand hygiene techniques signage was displayed in staff and patient toilets."

Positive

"The evidence from the survey showed patients were satisfied with how they were treated and that this was with compassion dignity and respect."

Positive

"Patientcarer support to cope emotionally with care and treatment The survey information we reviewed showed patients were positive about the emotional support provided by the practice and rated it well in this area."

Positive

"All told us they were satisfied with the care provided by the practice and said their dignity and privacy was respected."

Positive

"• Patients were treated with compassion dignity and respect."

Positive

"They said staff treated them with dignity and respect."

Neutral

"One of the comments cards reviewed was negative in respect of getting an appointment and the need for more than one doctor who is able to see children."

Positive

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

Positive

"Tackle inequity and promote equality The practice had recognised the needs of different groups in the planning of its services."

Neutral

"The practice provided equality and diversity training via elearning."

Positive

"The leaflet gave guidelines to patients as to how to raise a complaint and what they could expect from the practice in response to a complaint."

Positive

"There were details of advocacy support available for help with raising a complaint and details for NHS England and the Health Service Ombudsman for patients to contact if they were not satisfied with the outcome of their complaint to the practice."

Positive

"The responses included details of any lessons to be learnt from the complaint raised and how changes would be implemented."

Positive

"All incidents and alerts were collated and reviewed at the six monthly clinical governance meetings which ensured that lessons were learnt and staff were kept updated.. We reviewed safety records and incident reports and minutes of meetings where these were discussed."

Neutral

"The practice held monthly governance meetings."

Positive

"They rated the high quality of care given to patients and the support given by staff."

Positive

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