What is the Quality of Safety at The Nightingale Practice

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

"• 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 SHOULD take to improve The area where the provider should make improvement is: • To provide information governance and health and safety training to all staff."

Positive

"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 and legionella Legionella is a term for a particular bacterium which can contaminate water systems in buildings."

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 areas where the provider should make improvement are: • To provide information governance and health and safety training to all staff."

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 which identified local health and safety representatives."

Positive

"• The practice was not able to show that all new employees had undergone all preemployment and induction training including: information governance and health and safety training for all staff."

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

"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 and legionella Legionella is a term for a particular bacterium which can contaminate water systems in buildings."

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."

Neutral

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

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 family planning and asthma."

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

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

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

"The practice apologised to the patient it discussed the complaint at a practice meeting and decided that in future patients would be informed if there was any reason why their prescription would not be prepared."

Positive

"• There was an overarching governance framework which supported the delivery of the strategy and good quality care."

Positive

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

Positive

"Areas for improvement Action the service SHOULD take to improve The area where the provider should make improvement is: • To provide information governance and health and safety training to all staff."

Positive

"The areas where the provider should make improvement are: • To provide information governance and health and safety training to all staff."

Positive

"• The practice was not able to show that all new employees had undergone all preemployment and induction training including: information governance and health and safety training for all staff."

Positive

"• The practice had an induction programme for all newly appointed staff but was unable to provide evidence that all staff had received training in: information governance manual handling and health and safety."

Neutral

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

Neutral

"This outlined the structures and procedures in place and ensured that: • Although not all staff had received training in information governance they understood and were able to explain their responsibilities in this area."

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."