What is the Quality of Safety at Grafton Medical Partners

Positive

"The practice had systems in place for notifiable safety incidents and however this information was not always shared with staff to ensure appropriate action was taken."

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

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

Positive

"• There was some evidence that action was taken as a result of significant events 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

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

Positive

"• Ensure that staff have access to regular mandatory training to be able to respond to emergencies including annual basic life support training and fire safety training."

Positive

"For example the practice had received a safety alert from Public Health England we saw evidence that this notification had been cascaded to all team members who signed and dated they had read and understood the alert."

Positive

"A health and safety risk assessment had not been undertaken however one had been booked to take place after the inspection."

Positive

"There was a health and safety policy available."

Positive

"Not all staff had received fire safety training."

Positive

"Not all staff had received update training in fire safety or basic life support however we saw evidence that the practice had booked staff on basic life support training and fire training after the inspection."

Neutral

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

Positive

"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 and those with learning disabilities."

Positive

"Patients said they felt the practice offered an excellent 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 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

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

Positive

"They 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

"• 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."

Positive

"The practice had control of substances hazardous to health infection control and legionella Legionella is a term for a particular bacterium which can contaminate water systems in buildings."

Positive

"• Most staff received update training that included: safeguarding basic life support infection control and information governance awareness."

Positive

"There was an infection control policy and supporting procedures in place which had been tailored to different staffing groups and we saw that staff had received up to date training."

Neutral

"A practice nurse from another Grafton Medical Partners practice was the infection control lead for all sites."

Positive

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

Positive

"• Ensure that the staffing structure including roles and responsibilities are clearly defined so that governance arrangements are more robust."

Positive

"• Most staff received update training that included: safeguarding basic life support infection control and information governance awareness."

Neutral

"The partners also discussed governance issues in a larger partnership meeting which involved the provider’s other businesses."

Positive

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