What is the Quality of Safety at Barlby Surgery

Positive

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

Positive

"We based our judgement of the quality of care at this service on a combination of: • what we found when we inspected • information from our ongoing monitoring of data about services and • information from the provider patients the public and other organisations."

Positive

"All the patients we spoke with during the inspection told us they were satisfied with the overall quality of care and support offered by the practice from both clinical and nonclinical staff."

Positive

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

Positive

"We rated the practice as requires improvement for providing safe services because: • There were gaps in safety systems."

Positive

"This was in relation to single use equipment checks health and safety highrisk medicines."

Positive

"• Develop a system to check that relevant staff have read safety alerts."

Positive

"It had a clear vision with quality and safety as its top priority."

Positive

"Information about how to complain was available and easy to understand • The practice had a clear vision which had quality and safety as its top priority."

Positive

"Information about safety was highly valued and was used to promote learning and improvement. . A slot for significant events was on the weekly clinical meetings and monthly practice meeting agenda and a review of actions from past significant events and complaints was carried out annually."

Positive

"There was 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."

Positive

"They had processes in place for documenting and discussing reported incidents and national patient safety alerts as well as comments and complaints received from patients."

Positive

"National patient safety alerts were disseminated by the practice manager to the relevant practice staff by email through the practices computer system messaging facility."

Positive

"Overview of safety systems and processes The practice had clearly defined and embedded systems processes and practices in place to keep people safe which included: • Arrangements were in place to safeguard patients from abuse that reflected relevant legislation and local requirements and policies were accessible to all staff."

Positive

"The practice also had a health and safety policy which staff were required to read as part of their induction."

Positive

"Staff had to read the key policies such as safeguarding health and safety and infection control as part of their induction."

Neutral

"We reviewed staff training records and saw that all staff had an induction programme which covered a wide range of topics such as health and safety infection control safeguarding and fire safety."

Positive

"• Staff dealt with patients with kindness and respect and involved them in decisions about their care."

Positive

"Patients said the care was good and staff were friendly professional and accommodating and that all staff treated them with dignity and respect."

Positive

"Patients said they felt the practice offered a good 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

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

Positive

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

Positive

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

Positive

"• The practice had a comprehensive programme of quality improvement and used information about care and treatment to make improvements."

Positive

"We found the leadership promoted a culture of learning and quality improvement and saw clear evidence of integrated care at the practice."

Positive

"Clinical audits were carried out to demonstrate quality improvement and all relevant staff were involved to improve care and treatment and people’s outcomes."

Positive

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

Positive

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

Positive

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

Positive

"Staff we spoke with knew how to recognise signs of abuse in older people and vulnerable adults."

Positive

"Overview of safety systems and processes The practice had clearly defined and embedded systems processes and practices in place to keep people safe which included: • Arrangements were in place to safeguard patients from abuse that reflected relevant legislation and local requirements and policies were accessible to all staff."

Positive

"There was 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."

Positive

"Staff had to read the key policies such as safeguarding health and safety and infection control as part of their induction."

Neutral

"There was an infection control policy and protocols in place."

Neutral

"The practice nurse was the infection control clinical lead and had undertaken further training to enable them to provide advice on the practice infection control policy and carry out staff training."

Neutral

"Monthly infection control audits were undertaken and we saw evidence that action was taken to address any improvements identified as a result."

Neutral

"We reviewed staff training records and saw that all staff had an induction programme which covered a wide range of topics such as health and safety infection control safeguarding and fire safety."

Positive

"This included sections on equality and harassment and bullying at work."

Positive

"None of the patients we spoke with had ever needed to make a complaint about the practice."