What is the Quality of Safety at New Eltham Medical Centre

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 Childhood immunisation rates for the vaccinations given were comparable to national averages."

Positive

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

Positive

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

Positive

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

Positive

"We also spoke with ten patients They also 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

"• From the sample of documented examples we reviewed we found there was an effective system for reporting and recording significant events; lessons were shared to make sure action was taken to improve safety in the practice."

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 practice had systems for being aware of notifiable safety incidents and sharing the information with staff and ensuring appropriate action was taken."

Positive

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

Positive

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

Positive

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

Positive

"The arrangements for managing medicines including emergency medicines and vaccines in the practice minimised risks to patient safety including obtaining prescribing recording handling storing security and disposal."

Positive

"Health and safety building checks and fire risk assessments were not carried out routinely."

Positive

"This included support training for all staff on communicating with patients about notifiable safety incidents."

Positive

"For example there were checks completed to ensure the safety of premises and equipment and there was planning and monitoring of staffing levels."

Positive

"Overview of safety systems and processes The practice had clearly defined and embedded systems processes and practices in place to minimise risks to patient safety."

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

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

Positive

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

Positive

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

Positive

"The practice also 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 and legionella."

Positive

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

Positive

"• When there are unintended or unexpected safety incidents people receive reasonable support truthful information a verbal and written apology and are told about any actions to improve processes to prevent the same thing happening again."

Positive

"When there are unintended or unexpected safety incidents people receive reasonable support truthful information a verbal and written apology and are told about any actions to improve processes to prevent the same thing happening again."

Positive

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

Positive

"• Ensure that health and safety building checks are undertaken and staff are adequately trained and updated in Fire safety."

Positive

"The practice had systems in place for knowing about notifiable safety incidents • However staff had not had regular appraisals and performance reviews."

Positive

"There was a health and safety policy available with a poster in the reception office."

Positive

"The practice had also not carried out regular building health and safety checks."

Positive

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

Positive

"When there were unexpected or unintended safety incidents: • the practice gives affected people reasonable support truthful information and a verbal and written apology."

Neutral

"This incident was discussed with the practice team and to avoid future occurrence a new safety net check system was introduced and was being used by staff carrying out childhood immunisations."

Neutral

"• The practice had an induction programme for newly appointed nonclinical members of staff that covered such topics as safeguarding infection prevention and control fire safety health and safety and confidentiality."

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."

Positive

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

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 practice also 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 and legionella."

Positive

"However the practice did not have a clearly designated infection control lead."

Neutral

"The practice reported that the nurse was the lead for infection control but when we spoke to the nurse they felt that they had taken on this role informally and they had not been nominated."

Neutral

"Regular infection control audits were undertaken by the CCG and we saw evidence that action was taken to address any improvements identified as a result."

Neutral

"However the practice nurse was not aware that they were the appointed infection control lead for the practice."

Positive

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

Positive

"• Patient feedback we received indicated that patients said they were treated with compassion dignity and respect and they were involved in decisions about their care and treatment."

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

"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

"We also spoke with ten patients They also told us they were satisfied with the care provided by the practice and said their dignity and privacy was respected."

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."

Positive

"For example following a complaint about the attitude of reception staff staff were encouraged to ensure they obtained accurate patient information to enable them to support them properly."

Positive

"• An overarching governance framework 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 policies and procedures to govern activity and held regular governance meetings."

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."

Positive

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

Positive

"All were complimentary about the practice staff who worked there and the quality of service and care provided."