What is the Quality of Safety at Cheshire Road 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

"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

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

Neutral

"There was a notice in the reception area asking patients to be respectful of other people’s privacy when checking into the practice."

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 infection control and legionella Legionella is a term for a particular bacterium which can contaminate water systems in buildings."

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

"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 reception office which identified local health and safety representatives."

Positive

"These included completed audits on high risk medicine monitoring patients receiving home oxygen and managing safety alerts."

Positive

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

Neutral

"This covered such topics as safeguarding 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."

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 infection control and legionella Legionella is a term for a particular bacterium which can contaminate water systems in buildings."

Positive

"The practice nurse was the infection control clinical lead who liaised with the local infection prevention teams to keep up to date with best practice."

Neutral

"There was an infection control protocol in place all of the clinical staff and most of the administrative staff had received up to date training."

Neutral

"The practice manager told us that infection control was often an item on the practice meeting agenda and that informal training for example hand washing had taken place."

Neutral

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

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."

Neutral

"We saw a GP providing a patient with a DVD on nutrition during our inspection."

Positive

"• We saw positive examples of joint working with the health visitor and tissue viability nurses Working age people including those recently retired and students The practice is rated as good for the care of workingage people including those recently retired and students."

Positive

"• The practice nurse worked with the health visitor to ensure that the latest NICE guidelines for vitamin D deficiency were being implemented in the local Sure Start Centre."

Positive

"Patients said they felt the practice offered an excellent service and that staff were helpful caring and treated them with dignity and respect."

Positive

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

Positive

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

Positive

"• We saw that 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

"Each complaint had been fully detailed and lessons were learned."

Positive

"• There was an overarching governance framework which supported the delivery of the strategy and good quality care."

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."