What is the Quality of Safety at The Blithehale Medical Centre

Positive

"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

"Staff acting as fire marshals and fire warden had completed training for their roles and staff told us they had carried out fire drills however we could find no record of fire drills in the fire safety folder."

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

"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

"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

"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

"• The practice had a variety of other risk assessments in place to monitor safety of the premises such as legionella Legionella is a term for a particular bacterium which can contaminate water systems in buildings."

Positive

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

Positive

"We reviewed incident reports and minutes of meetings where these and other safety information such as patient safety alerts were discussed."

Positive

"There was a health and safety policy available with a poster in the staff room which identified local health and safety representatives."

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

"• 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."

Neutral

"• The provider had recognised shortfalls in its recruitment records and infection control systems and was addressing these as part of a review of its governance systems."

Neutral

"It had reviewed these systems and was making improvements around recruitment records and infection control audit."

Neutral

"• The provider kept governance systems under review and was addressing the shortfalls it had identified in its recruitment records and infection control audit systems."

Neutral

"The practice’s annual infection control audit was overdue however."

Neutral

"A new clinical lead for infection control was in place and was dealing with this."

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."

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

Positive

"Patients commended staff for their professionalism and kindness and said the quality of service was very high."

Positive

"Results from the national GP patient survey showed patients felt they were treated with compassion dignity and respect."

Positive

"• We reviewed three personnel files and found they did not all contain all the information required to be available in respect of each person employed by the Are services safe?"

Positive

"• Put systems in place to make available all information required in respect of each person employed by the service."

Positive

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

Positive

"Governance arrangements The practice had an overarching governance framework which supported the delivery of the strategy and good quality care."

Neutral

"• The provider had recognised shortfalls in its recruitment records and infection control systems and was addressing these as part of a review of its governance systems."

Neutral

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

Neutral

"• The provider kept governance systems under review and was addressing the shortfalls it had identified in its recruitment records and infection control audit systems."

Positive

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

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

"Patients commended staff for their professionalism and kindness and said the quality of service was very high."