What is the Quality of Safety at Greenford Avenue Family Health Practice

Positive

"The practice also had a health and safety policy that included fire safety hazardous waste disposal premises maintenance equipment maintenance medicine storage and personal safety and dealing with aggression."

Positive

"All staff were fully trained on the system and commented positively about the system’s safety and ease of use."

Positive

"Information about safety was recorded monitored appropriately reviewed and addressed."

Positive

"Monitoring safety and responding to risk The practice had systems processes and policies in place to manage and monitor risks to patients staff and visitors to the practice."

Positive

"The GPs told us clinical audits were often linked to medicines management information safety alerts or as a result of information from the quality and outcomes framework QOF."

Positive

"Learning and improvement from safety incidents The practice had a system in place for reporting recording and monitoring significant events incidents and accidents."

Positive

"Health and safety information was displayed for staff to see and the administrative lead was the practice health and safety representative."

Positive

"For example reported incidents and national patient safety alerts as well as comments and complaints received from patients."

Positive

"We reviewed safety records incident reports and minutes of meetings where these were discussed for the last year."

Positive

"National patient safety alerts were disseminated by email and in the monthly clinical team meeting to practice staff."

Positive

"Reliable safety systems and processes including safeguarding The practice had systems to manage and review risks to vulnerable children young people and adults."

Neutral

"We saw for example that safety information about the management of patients with suspected Ebola virus had been discussed at a recent practice team meeting."

Positive

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

Positive

"This information was used to help focus health promotion activity such as healthy lifestyle choices information exercise referral smoking cessation and referral to alcohol and drug abuse support."

Positive

"The practice undertook regular infection control audits and there was evidence of improvement to infection control procedures as a result of the action plans identified."

Positive

"Cleanliness and infection control We observed the premises to be clean and tidy."

Positive

"We reviewed patient records policies and procedures practice maintenance records infection control audits clinical audits significant events records staff recruitment and training records meeting minutes and complaints."

Positive

"An infection control policy and supporting procedures were available for staff to refer to which enabled them to plan and implement measures to control infection."

Positive

"However we were told that any risks were discussed at the monthly practice team meeting and were shown an example where the practice administrative lead had shared the recent findings from an infection control audit with the practice team."

Neutral

"The nurse practitioner was the lead for infection control and had undertaken further training to enable them to provide advice on the practice infection control policy."

Neutral

"All staff received training about infection control specific to their role."

Neutral

"We saw evidence that the practice completed infection control audits."

Neutral

"For example there was a lead nurse for infection control and the senior partner was the lead for safeguarding."

Positive

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

Positive

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

Positive

"Patientcarer support to cope emotionally with care and treatment Patients we spoke with were positive about the emotional support provided by the practice."

Positive

"Patients we spoke with told us that they were treated well by the practice staff and that they were treated with kindness dignity and respect."

Positive

"We were shown the staff handbook that was available to all staff which included sections on equality and harassment and bullying at work."

Positive

"Tackling inequity and promoting equality The practice had access to online translation services for patients who did not have English as their first language."

Positive

"The complaint would be acknowledged within three working days and once investigated a written response to the complaint would be provided."

Positive

"None of the patients we spoke with had ever needed to make a complaint about the practice."

Positive

"The practice team comprises one male GP partner one male and one female salaried GP one female nurse practitionerclinical governance manager one female practice nurse and one female medical assistant who undertook health care assistant duties but had trained as a doctor in their native homeland."

Positive

"This included a clinical governance policy that included guidance on patient involvement clinical audit evidence based management staff feedback risk control and continuing professional development."

Positive

"We also noted administration team meetings were held regularly to discuss issues relating to information governance risk assessment and team social activities."

Positive

"The practice had a number of policies and procedures to govern activity and held regular governance meetings to discuss performance monitoring significant events and training."

Neutral

"The practice held monthly clinical team meetings that included discussion of governance arrangements."

Positive

"The majority of patients were satisfied and commented on the high quality of care delivered and felt the staff were good at listening."

Positive

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