Latest Snippet(s)
Positive
"Privacy and dignity The practice respected patients’ privacy and dignity."
2017-11-22 Snippet(s)
Positive
"Nine of the patients spoke to tell 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."
Latest Snippet(s)
Positive
"We found at this inspection that systems for learning from significant events had improved and there was evidence that the practice learned and shared lessons identified themes and took action to improve safety in the practice."
Positive
"Track record on safety The practice had a good track record on safety."
Positive
"• Staff were clear on their roles and accountabilities including in respect of safeguarding and infection prevention and control • Practice leaders had established proper policies procedures and activities to ensure safety and assured themselves that they were operating as intended."
Positive
"All staff received uptodate safeguarding and safety training appropriate to their role."
Positive
"• There was a strong emphasis on the safety and wellbeing of all staff."
Positive
"Concerns at our last inspection related to the management of medicines systems to manage infection control safeguarding safety alerts and significant events."
Positive
"Practice leaders had oversight of national and local safety alerts incidents and complaints."
Positive
"• There were comprehensive risk assessments in relation to safety issues."
Positive
"This helped it to understand risks and gave a clear accurate and current picture of safety that led to safety improvements."
Positive
"At this inspection we found evidence of action taken in response to patient and medicine safety alerts."
Neutral
"In addition: • The practice had clear systems to manage risk so that safety incidents were less likely to happen."
Neutral
"There was a lack of clear learning from significant events and there was limited evidence of action taken in response to patient safety alerts."
Neutral
"• At the last inspection we found that the practice held a log of patient safety alerts and there was evidence that these had been cascaded to clinical staff but there was no evidence of action taken in response to relevant alerts."
2017-11-22 Snippet(s)
Positive
"The practice had undertaken a lot of work to improve the standard of clinical care and increase access for patients yet it was evident that there were a number of areas concerning patient safety where effective governance and oversight were lacking."
Positive
"• The practice had a variety of other risk assessments 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
"However outcomes and learning were not always clear and the practice did not have an effective system which demonstrated action taken in response to safety alerts."
Positive
"This included support for all staff on communicating with patients about notifiable safety incidents."
Positive
"Our key findings across all the areas we inspected were as follows: • There was an open and transparent approach to safety and a system in place for reporting and recording significant events."
Positive
"• There was not always clear evidence of learning from significant events and although there was evidence that patient safety alerts were cascaded to staff it was not clear what action had been taken in response to recent alerts."
Positive
"The practice had systems for being aware of notifiable safety incidents and sharing the information with staff; however there was no evidence of action being taken in response to safety alerts."
Positive
"However outcomes and learning were not always clear and there was no evidence of action taken in response to patient safety alerts."
Positive
"• The practice had a system in place for recording the safety alerts received."
Positive
"• There was a health and safety policy available."
Positive
"• Staff received training that included: safeguarding fire safety awareness basic life support and information governance."
Neutral
"Overview of safety systems and processes The practice had systems processes and practices in place to minimise risks to patient safety."
Neutral
"This covered such topics as safeguarding infection prevention and control fire safety health and safety and confidentiality."
Latest Snippet(s)
Positive
"• Staff took steps including working with other agencies to protect patients from abuse neglect harassment discrimination and breaches of their dignity and respect."
2017-11-22 Snippet(s)
Positive
"• Staff interviewed knew how to recognise signs of abuse in children young people and adults whose circumstances may make them vulnerable."
Positive
"• Staff were able to recognise the signs of abuse in older patients and knew how to escalate any concerns."
Latest Snippet(s)
Positive
"Concerns at our last inspection related to the management of medicines systems to manage infection control safeguarding safety alerts and significant events."
Positive
"We found that risks associated with infection control had not all been addressed satisfactorily and that there were a number of pathology results which had not been actioned within a reasonable timeframe."
2017-11-22 Snippet(s)
Positive
"• The practice had a variety of other risk assessments 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 arrangements in place for monitoring and mitigating risks associated with infection control were not effective."
Positive
"• Most risks in the practice were well managed; however those associated with infection control were not always monitored or addressed adequately."
Positive
"• Risks associated with infection control were not adequately addressed in the patient bathrooms and in one of the clinical rooms within the practice."
Positive
"Specifically we found concerns related to the management of significant events medicines and risks associated with infection control medicines management the management of equipment procedures around recruitment and monitoring and chaperoning."
Latest Snippet(s)
Neutral
"The practice held meetings with the health visitor every eight weeks."
2017-11-22 Snippet(s)
Neutral
"From the documented examples we reviewed we found examples of joint working with the health visitor team."
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
"Consequently the provider remains rated good for all of the population groups in respect of providing effective services ."
Positive
"• Again the practice’s most recent independent internal survey data showed that feedback was positive in respect of patient involvement about decisions in their care and treatment."
Positive
"Privacy and dignity The practice respected patients’ privacy and dignity."
Positive
"• Staff recognised the importance of people’s dignity and respect."
Positive
"• Staff were clear on their roles and accountabilities including in respect of safeguarding and infection prevention and control • Practice leaders had established proper policies procedures and activities to ensure safety and assured themselves that they were operating as intended."
Positive
"• Staff took steps including working with other agencies to protect patients from abuse neglect harassment discrimination and breaches of their dignity and respect."
Positive
"The feedback from this survey indicated that there was dissatisfaction amongst patients in respect of the nursing service."
2017-11-22 Snippet(s)
Positive
"Patients said they felt the practice offered an excellent service and staff were helpful caring and treated them with dignity and respect."
Positive
"Most staff said that they were more confident in terms of their role in respect of the support that was offered by senior members of staff and their ability to raise concerns."
Positive
"Nine of the patients spoke to tell us they were satisfied with the care provided by the practice and said their dignity and privacy was respected."
Positive
"Governance arrangements Although the new provider had made a significant number of improvements in respect of the governance systems in place at the practice there were a number of areas where further improvement was required to ensure that patients were kept safe."
Positive
"Half of the comments received made reference to the fact that the service had improved in terms of the care received from clinical staff the service provided by reception and administrative staff and in respect of access to appointments."
Positive
"• Although we identified a lot of improvements to the practice’s governance framework which had resulted in an improvement in the quality of care provided there were a number of areas where arrangements to manage risk were not adequate particularly in respect of infection control."
Positive
"• We saw staff treated patients with kindness and respect and maintained patient and information confidentiality."
Positive
"The arrangements for managing medicines did not always ensure that patients were kept safe particularly in respect of monitoring vaccine fridge temperatures."
Positive
"• Although patient feedback was largely mixed the practice proactively sought feedback from staff and patients and we saw examples where feedback had been acted on particularly in respect of access to appointments."
Positive
"• Curtains were provided in consulting rooms to maintain patients’ privacy and dignity during examinations investigations and treatments."
Latest Snippet(s)
Positive
"• The practice actively promoted equality and diversity."
Neutral
"Staff had received equality and diversity training."
Latest Snippet(s)
Positive
"• Information about how to make a complaint or raise concerns was available."
Positive
"• The complaint policy and procedures were in line with recognised guidance."
Latest Snippet(s)
Positive
"• Structures processes and systems to support good governance and management were clearly set out understood and effective."
Positive
"Governance arrangements There were clear responsibilities roles and systems of accountability to support good governance and management."
Positive
"The governance and management of partnerships joint working arrangements and shared services promoted interactive and coordinated personcentred care."
2017-11-22 Snippet(s)
Positive
"The practice had undertaken a lot of work to improve the standard of clinical care and increase access for patients yet it was evident that there were a number of areas concerning patient safety where effective governance and oversight were lacking."
Positive
"Governance arrangements Although the new provider had made a significant number of improvements in respect of the governance systems in place at the practice there were a number of areas where further improvement was required to ensure that patients were kept safe."
Positive
"• Although we identified a lot of improvements to the practice’s governance framework which had resulted in an improvement in the quality of care provided there were a number of areas where arrangements to manage risk were not adequate particularly in respect of infection control."
Positive
"However weaknesses in governance systems undermined the practice’s ability to provide safe high quality care."
Latest Snippet(s)
Positive
"• Quality and sustainability were discussed in relevant meetings where all staff had sufficient access to information."
Latest Snippet(s)
Positive
"Monitoring care and treatment The practice had a comprehensive programme of quality improvement activity and routinely reviewed the Are services effective?"
Positive
"• The practice was actively involved in quality improvement activity."
2017-11-22 Snippet(s)
Positive
"There was evidence of quality improvement including clinical audit: • There had been four clinical audits undertaken by the new provider since they began operating the practice two of these were completed audits and one demonstrated improvement in the quality of clinical 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."
2017-11-22 Snippet(s)
Positive
"Continuous improvement There was a focus on continuous learning and improvement within the practice and the practice had utilised AT Medics software to improve the quality of care provided to patients."
Positive
"Much of the work undertaken by the practice had focused on improving the quality of care offered to patients and increasing patient access to appointments."
Positive
"Most patients noted that the quality of care and access to the service had improved."
Positive
"• Although we identified a lot of improvements to the practice’s governance framework which had resulted in an improvement in the quality of care provided there were a number of areas where arrangements to manage risk were not adequate particularly in respect of infection control."
Positive
"This report describes our judgement of the quality of care at this service."
Neutral
"Improvements were made to the quality of care as a result of complaints and concerns though not all complaints were discussed in practice meetings."
2017-11-22 Snippet(s)
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."
2017-11-22 Snippet(s)
Positive
"In order to prevent this from happening and better track prescriptions a member of the reception staff suggested that patients and pharmacy staff picking up prescriptions should sign a log to confirm receipt."
2017-11-22 Snippet(s)
Positive
"Half of the comment cards referred to the fact that there had been noticeable improvement in the quality of service within the practice both in terms of the clinical care and the service provided by the reception staff."