What is the Quality of Safety at Belmont Hill Surgery

Neutral

"• Review auditory privacy within the practice."

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 to maintain patients’ privacy and dignity during examinations investigations and treatments."

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 and patients which it acted on."

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

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

Positive

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

Positive

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

Positive

"The practice had a variety of other risk assessments in place to monitor safety of the premises such as infection control and Legionella Legionella is a term for a particular bacterium which can contaminate water systems in buildings."

Positive

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

Positive

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

Positive

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

Positive

"• Staff received training that included: safeguarding children fire safety awareness basic life support and information governance."

Neutral

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

Positive

"• Although risks to patients who used services were assessed the systems and processes to address these risks were not in all instances implemented well enough to ensure patients were kept safe specifically in relation to infection control cleaning arrangements and the checking of emergency medical equipment."

Positive

"Areas for improvement Action the service MUST take to improve • Implement actions identified from the infection control audit and review the cleaning arrangements for the practice."

Positive

"The practice had a variety of other risk assessments in place to monitor safety of the premises such as infection control and Legionella Legionella is a term for a particular bacterium which can contaminate water systems in buildings."

Positive

"This included cleaning and infection control processes within the practice and the checking of emergency medical equipment."

Positive

"• The arrangements for identifying recording and managing risks issues and implementing mitigating actions were not in all instances effective specifically in relation to infection control cleaning arrangements and the checking of emergency medical equipment."

Positive

"How the regulation was not being met: • The provider had failed to action points raised in infection control audits."

Neutral

"• The practice nurse was the infection control clinical lead who told us she had taken over the role two weeks previously from a GP partner."

Neutral

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

Neutral

"An infection control audit had been undertaken two weeks prior to our inspection."

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

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

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

"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 were signposted to the relevant service."

Positive

"Patients said they felt the practice offered a brilliant 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

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

Positive

"• We saw staff treated patients with kindness and respect and maintained patient and information confidentiality."

Positive

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

Positive

"For example posters displayed in the waiting room and a complaint form."

Positive

"Governance arrangements The practice had an overarching governance framework which supported the delivery of the strategy and good quality care."

Neutral

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

Positive

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