What is the Quality of Safety at Pimlico Health @ The Marven

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

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

Positive

"• The practice had a variety of risk assessments to monitor safety of the premises such as control of substances hazardous to health and infection control."

Positive

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

Positive

"At this inspection we saw 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

"This included support training 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

"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

"Overall the practice is rated as Good 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

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

Positive

"The practice had systems in place for knowing about notifiable safety incidents and ensured this information was shared with staff to ensure appropriate action was taken."

Positive

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

Positive

"When there were unintended or unexpected safety incidents people received reasonable support truthful information a verbal and written apology and were 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

"The practice had systems in place for knowing about notifiable safety incidents When there were unexpected or unintended safety incidents: • The practice gave affected people reasonable support truthful information and a verbal and written apology."

Neutral

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

Positive

"There was evidence of quality improvement including clinical audit: • There had been six clinical audits commenced in the last two years two of these were completed audits where the improvements made were implemented and monitored."

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."

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

"However they also mentioned the lack of privacy at the reception desk."

Positive

"There was a designated children s area as well as breastfeeding and changing room for privacy although this was unsuitable for use due to a lack of heating."

Positive

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

Positive

"• Although patient feedback highlighted privacy at reception as an issue reception staff knew that when patients wanted to discuss sensitive issues or appeared distressed they could offer them a private room to discuss their needs."

Positive

"• Ensure that privacy is maintained at the reception desk."

Neutral

"There were issues around waiting times and privacy at reception but the practice had taken steps to address these."

Neutral

"Three of the patients we spoke with felt they did not have enough time during their consultation and three patients found privacy at the reception desk an issue."

Positive

"• Staff interviewed knew how to recognise signs of abuse in children young people and adults whose circumstances may make them vulnerable."

Positive

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

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 and alcohol cessation."

Positive

"Patients said they felt the practice offered an excellent service and staff were helpful caring and treated them with dignity and respect."

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

"We issued a requirement notice in respect of these issues and found these arrangements had significantly improved when we undertook this inspection."

Positive

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

Positive

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

Positive

"• The majority of patients said they were treated with compassion dignity and respect."

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

"For example a patient made a written complaint and was unhappy at turning up for an appointment in the surgery to be told it was a telephone consultation."

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."

Neutral

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

Neutral

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

Neutral

"The business manager was the infection control lead and there was an infection control protocol in place and staff had received up to date training."