Safety

Privacy

Latest Snippet(s)

Positive

"• Arrangements for patient s privacy at the reception desk had improved and an action plan was implemented to improve patient s telephone access."

Neutral

"• Review arrangements for patient’s privacy at the reception desk."

2016-06-15 Snippet(s)

Neutral

"• Review arrangements for patient’s privacy at the reception desk."

Positive

"They told us they were very 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

"However there were gaps or weaknesses in arrangements for fire safety electrical equipment testing staff recruitment processes arrangements for infection prevention and control and Patient Group Directions PGDs to allow nurses to administer medicines in line with legislation."

Positive

"The practice had arranged for premises wiring and sockets electrical safety to be checked and all were assessed as safe."

2016-06-15 Snippet(s)

Positive

"• There was an effective system in place for reporting and recording significant events • Lessons were shared to make sure action was taken to improve safety in the practice."

Positive

"Areas for improvement Action the service MUST take to improve • Implement robust arrangements for health and safety including fire safety and testing of electrical equipment."

Positive

"Overview of safety systems and processes The practice had some 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 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

"After inspection the practice sent us blank templates it intended to use for a six monthly fire safety risk assessment and fire drills."

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

"We saw evidence that lessons were shared and action was taken to improve safety in the practice."

Positive

"Staff showed us fire safety guidelines in the health and safety policy; however the information was not sufficiently detailed there were no nominated leads for fire safety and fire drills had not been carried out."

Positive

"• Risks to patients were not all assessed and well managed for example fire safety and electrical equipment testing."

Positive

"Clinical equipment was checked to ensure it was working properly and 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."

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 it did not identify local health and safety representatives; however the practice entered this information on the day of inspection."

Positive

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

Neutral

"• Most risks to patients were assessed and well managed but some important ones were not for example fire safety and safety testing of electrical equipment."

Neutral

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

Neutral

"For example fire safety electrical equipment safety testing and infection control."

Control of Infection

Latest Snippet(s)

Positive

"Our previous report also highlighted the following areas where the practice should improve: • Ensure annual infection control audits are undertaken."

Positive

"• Annual infection control audits and related improvement action plans were undertaken."

Positive

"Three overview quarterly infection control audits had been undertaken and one in depth annual audit with actions to improve taken as a result."

Positive

"Three quarterly audits and one comprehensive annual infection control audit had been undertaken since our previous inspection with improvements made a result including a system to ensure the clinical waste bin remained locked and replacing a bin that was broken in a patient s toilet."

2016-06-15 Snippet(s)

Positive

"The areas where the provider should make improvement are: • Ensure annual infection control audits are undertaken."

Positive

"Action the service SHOULD take to improve • Ensure annual infection control audits are undertaken."

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 and staff had received up to date training."

Signage

Quality of Care

Latest Snippet(s)

Positive

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

2016-06-15 Snippet(s)

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."

Abuse

2016-06-15 Snippet(s)

Positive

"Overview of safety systems and processes The practice had some 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

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

Diet

Support

2016-06-15 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; however four patients said they had difficulty getting an appointment."

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 very satisfied with the care provided by the practice and said their dignity and privacy was respected."

Positive

"• We saw staff treated patients with kindness and respect."

Positive

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

Complaints

2016-06-15 Snippet(s)

Positive

"For example the practice contacted a patient whose appointment GP had been changed to provide an explanation and an apology the patient was also invited to attend the practice for a follow up appointment to discuss the complaint in person."

Governance

2016-06-15 Snippet(s)

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."

Quality Improvement