Safety

Privacy

Latest Snippet(s)

Positive

"Privacy and dignity The practice respected and promoted patients’ privacy and dignity."

2016-03-10 Snippet(s)

Positive

"The member we spoke to was 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."

Safety

Latest Snippet(s)

Positive

"Track record on safety The practice had a good safety record."

Positive

"The practice learned and shared lessons identified themes and took action to improve safety in the practice."

Positive

"• There was a strong emphasis on the safety and wellbeing of all staff."

Positive

"The practice learned from external safety events as well as patient and medicine safety alerts."

Positive

"At this inspection we saw practice leaders had established proper policies procedures and activities to ensure safety and assured themselves that they were operating as intended."

Positive

"• The practice conducted safety risk assessments."

Positive

"It had a suite of safety policies which were regularly reviewed and communicated to staff."

Positive

"Staff received safety information for the practice as part of their induction and refresher training."

Positive

"• There were comprehensive risk assessments in relation to safety issues."

Positive

"• There was a system for receiving and acting on safety alerts."

Neutral

"• The practice had clear systems to manage risk so that safety incidents were less likely to happen."

Neutral

"This helped it to understand risks and gave a clear accurate and current picture that led to safety improvements."

2016-03-10 Snippet(s)

Positive

"The provider was rated as requires improvement for safety effective and wellled and good for caring and responsive."

Positive

"When there were unintended or unexpected safety incidents lessons learned were not communicated widely enough to support improvement."

Positive

"Staff training records were incomplete however we saw evidence of training on: safeguarding infection control fire procedures basic life support health and safety and mental capacity and consent."

Positive

"• Ensure that the electrical safety certificates and the Control of Substances Hazardous to Health COSHH assessment are available at the practice."

Positive

"The GP told us that national patient safety alerts were sent directly to him and he circulated them to the other clinical staff."

Positive

"Several versions of health and safety policies were seen but were not practice specific and staff we spoke with were not familiar with these policies."

Positive

"The practice had systems in place for knowing about notifiable safety incidents."

Neutral

"For example training records were incomplete neither the health and safety policy or the recruitment policy were practice specific with evidence of current use."

Neutral

"There was limited information available on the occurance of safety incidents and limited recording of significant events."

Abuse

Latest Snippet(s)

Positive

"Staff took steps to protect patients from abuse neglect harassment discrimination and breaches of their dignity and respect."

2016-03-10 Snippet(s)

Positive

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

Control of Infection

Latest Snippet(s)

Neutral

"The nurse was the infection control lead and we saw the practice carried out annual infection control audits."

2016-03-10 Snippet(s)

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."

Positive

"Staff training records were incomplete however we saw evidence of training on: safeguarding infection control fire procedures basic life support health and safety and mental capacity and consent."

Neutral

"There was an infection control protocol in place."

Neutral

"An annual infection control audit had been undertaken and we saw evidence that action was taken to address any improvements identified as a result."

Diet

2016-03-10 Snippet(s)

Positive

"• These included carers those at risk of developing a longterm condition and those requiring advice on their diet exercise smoking and alcohol cessation."

Positive

"In response overweight and obese children were referred to a local after school diet and exercise club."

Signage

2016-03-10 Snippet(s)

Positive

"• There was a sign on the reception desk window encouraging patients to submit comments via a comments box."

Support

Latest Snippet(s)

Positive

"Kindness respect and compassion Staff treated patients with kindness respect and compassion."

Positive

"• Staff involved and treated patients with compassion kindness dignity and respect."

Positive

"Privacy and dignity The practice respected and promoted patients’ privacy and dignity."

Positive

"• Staff recognised the importance of patients’ dignity and respect."

Positive

"Staff took steps to protect patients from abuse neglect harassment discrimination and breaches of their dignity and respect."

Positive

"• Staff were clear on their roles and accountabilities including in respect of safeguarding and infection prevention and control • At the last inspection we found although the practice had a number of policies and procedures to govern activity they were not practice specific."

2016-03-10 Snippet(s)

Positive

"Patients said they felt the practice offered a good service and staff were helpful patient treated them with dignity and respect and cared for patients."

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

"The member we spoke to was 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 also saw that staff treated patients with kindness and respect and maintained confidentiality."

Positive

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

Equality

Latest Snippet(s)

Neutral

"• Staff had received equality and diversity training."

Complaints

Latest Snippet(s)

Positive

"• The complaint policy and procedures were in line with recognised guidance."

Positive

"One complaint was received in the last year."

Positive

"We reviewed the complaint and found it was satisfactorily handled in a timely way."

Positive

"• Information about how to make a complaint or raise concerns was available and it was easy to do."

2016-03-10 Snippet(s)

Positive

"Listening and learning from concerns and complaints The practice stated that they had not had a complaint for nearly two years and as such could not evidence that they had an effective system in place for handling complaints and concerns."

Governance

Latest Snippet(s)

Positive

"Governance arrangements There were clear responsibilities roles and systems of accountability to support good governance and management."

Positive

"However at this inspection we saw evidence to show the governance team met weekly and there were structures processes and systems to support good governance."

2016-03-10 Snippet(s)

Positive

"• Implement formal governance arrangements including systems for assessing and monitoring the quality of the service provision."

Positive

"• Although the practice had a clear leadership structure there were limited formal governance arrangements."

Positive

"Governance arrangements The practice had limited governance arrangements."

Positive

"There were very limited formal governance arrangements including systems for assessing monitoring and recording the quality of the service provided."

Neutral

"• The practice had a number of policies and procedures to govern activity but these were not practice specific and the practice did not hold regular governance meetings."

Sustainability

Latest Snippet(s)

Positive

"• Quality and sustainability were discussed in relevant meetings where all staff had sufficient access to information."

Quality Improvement

Latest Snippet(s)

Positive

"Monitoring care and treatment The practice had a programme of quality improvement activity and routinely reviewed the effectiveness and appropriateness of the care provided."

Quality of Care

Latest Snippet(s)

Positive

"• Clinical audit had a positive impact on quality of care and outcomes for patients."

Positive

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

2016-03-10 Snippet(s)

Positive

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

Visitors

2016-03-10 Snippet(s)

Positive

"The patient was also referred to the primary care navigator for advice on benefits and if a child was involved too the on site health visitor for continued follow up."

Positive

"The health visitor worked with practice the to develop the vulnerable children’s register with on going followup of patients as necessary."

Positive

"The health visitor worked with the practice to develop the vulnerable children’s register with on going followup of patients as necessary."

Religion

2016-03-10 Snippet(s)

Positive

"• A number of muslim patients refused the intranasal flu vaccine due to the porcine content in the vaccine."

Positive

"Examples of this are smoking cessation advice from a male health care assistant for male patients low cost single sex exercise classes for overweight women non porcine flu vaccine for muslim patients."