What is the Quality of Safety at Mather Avenue Surgery

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 in place to monitor safety of the premises such as control of substances hazardous to health and legionella risk assessment Legionella is a term for a particular bacterium which can contaminate water systems in buildings."

Positive

"The practice took the opportunity to learn from internal incidents and safety alerts to support improvement."

Positive

"Overview of safety systems and processes The practice had clearly 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

"We saw evidence 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

"There was a health and safety policy available with a poster in the reception office which identified local health and safety representatives."

Positive

"The practice had a safety alert protocol to make sure information from any alert was cascaded to the team and dealt with appropriately."

Neutral

"• There were systems in place to mitigate safety risks including analysing significant events and safeguarding."

Neutral

"It covered such topics as infection prevention and control fire safety health and safety and confidentiality."

Positive

"Overview of safety systems and processes The practice had clearly 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."

Neutral

"• There were cleaning schedules and an infection control protocol in place and staff had received up to date training."

Neutral

"The practice undertook monthly infection control monitoring and also audits were undertaken by the local infection control team."

Positive

"This included patients who required advice on their diet benefits of exercising smoking and alcohol cessation."

Positive

"For example they were trying to improve disabled access to the roadside by the building and to improve the signage for the practice."

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’ views gathered at inspection demonstrated they were treated with compassion dignity and respect and they were involved in decisions about their care and treatment."

Positive

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

Positive

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

Positive

"The complaints policy clearly outlined a time frame for when the complaint would be acknowledged and responded to but did not have the correct details of who the patient should contact if they were unhappy with the outcome of their complaint."

Positive

"Information about how to make a complaint was available in a practice information leaflet at the reception desk."

Neutral

"Training included: safeguarding fire procedures and basic life support and information governance awareness."

Neutral

"• An overarching clinical governance policy and practice specific policies that all staff could access on the computer system or in paper format."

Positive

"• A system of continuous quality improvement including the use of audits which demonstrated an improvement on patients’ welfare."

Positive

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