What is the Quality of Safety at The Medici Medical Practice

Positive

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

Positive

"The practice should ensure that clinicians carry out structured audit at least yearly to monitor quality of care or treatment provided."

Positive

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

Positive

"This banding is not a judgement on the quality of care being given by the GP practice; this only comes after a CQC inspection has taken place."

Positive

"We rated the practice as good for providing wellled services because: • Staff dealt with patients with kindness and respect and involved them in decisions about their care."

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

"Two patients confirmed that their dignity was protected during intimate examinations with screens and a dignity cover and that they had been offered a chaperone at that time."

Positive

"We also saw that staff treated patients with kindness and respect and maintained confidentiality."

Positive

"Patients told us they were treated with respect and had their dignity maintained."

Positive

"Patients we spoke with told that they found all staff treated them with respect and maintained their dignity."

Positive

"They said staff treated them with dignity and respect."

Positive

"Disposable curtains were provided in consulting rooms and treatment rooms so that patients’ privacy and dignity was maintained during examinations investigations and treatments."

Positive

"Staff told us that if they had any concerns or observed any instances of discriminatory behaviour or where patients’ privacy and dignity was not being respected they would raise these with the practice manager."

Positive

"Disposable curtains were provided in consulting rooms and treatment rooms so that patients’ privacy and dignity was maintained during examinations investigations and treatments."

Positive

"Staff told us that if they had any concerns or observed any instances of discriminatory behaviour or where patients’ privacy and dignity was not being respected they would raise these with the practice manager."

Neutral

"The reception desk was enclosed by glass partitions that provided more privacy for patients when speaking to reception staff."

Neutral

"Staff and patients told us that all consultations and treatments were carried out in the privacy of a consulting room."

Positive

"We saw evidence that the practice carried out a fire risk assessment quarterly which included actions required to maintain fire safety however there was no evidence to demonstrate that any fire training had been undertaken or fire drill carried out."

Positive

"Reliable safety systems and processes including safeguarding We looked at staff training records which showed us that more than half the staff had undertaken safeguarding training but that some were still outstanding."

Positive

"All staff were fully trained on the system and commented positively about the system’s safety and ease of use."

Positive

"Medical staff told us that they had received an induction which included safety issues such as fire resuscitation and awareness of the location of panic alarms and what to do if they were activated."

Positive

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

Positive

"National patient safety alerts were disseminated by email to all appropriate practice staff via the practice manager."

Positive

"Monitoring safety and responding to risk The practice demonstrated that they had monitored risks to patients staff and visitors to the practice."

Positive

"Learning and improvement from safety incidents The practice had a system in place for reporting recording and monitoring significant events incidents and accidents."

Positive

"Health and safety information was displayed for staff to see and there was an identified health and safety representative."

Positive

"For example reported incidents and national patient safety alerts as well as comments and complaints received from patients."

Positive

"We reviewed safety records incident reports and minutes of meetings where these were discussed for the last year."

Positive

"The practice also had a health and safety policy."

Positive

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

Positive

"Staff we spoke with were able to demonstrate how they would recognise signs of abuse in older people vulnerable adults and children."

Positive

"• Ensure that all staff receive infection control update training • Ensure that infection control cleaning schedules and audit is updated and completed as planned."

Positive

"Following our inspection the practice manager contacted us with details of an audit that had been commenced and confirmed they were working with infection control leads at the CCG to determine an efficient and useful system to implement."

Positive

"• The practice should ensure that all staff receive infection control update training as planned."

Positive

"• The practice should ensure that infection control cleaning schedules and audit is updated and completed as planned."

Neutral

"Cleanliness and infection control The practice manager was the lead for infection control and had undertaken training to enable them to provide advice on the practice infection control policy."

Neutral

"All staff received induction training about infection control specific to their role and received annual updates."

Neutral

"There was an infection control policy in place for staff to refer to which enabled them to plan and implement measures to control infection."

Neutral

"For example the practice manager was the lead nurse for infection control and the senior partner was the lead for safeguarding."

Neutral

"Staff meetings included attendance by the MacMillan Nurse health visitor and district nurse."

Positive

"Areas for improvement Action the service SHOULD take to improve • The practice should display signage in different languages in the reception area which informs patients of the translation service available."

Positive

"However there was no signage to advertise this to patients whose first language was not English."

Neutral

"Importantly the provider should: • Display signage in different languages in the reception area which informs patients of the translation service available."

Neutral

"For example it was offered access to translation services and they also had access to a sign language translator for those patients who were deaf."

Positive

"We were shown the electronic staff handbook that was available to all staff which included sections on equality and harassment and bullying at work."

Positive

"Tackling inequity and promoting equality The practice had recognised the needs of different groups in the planning of its services."

Neutral

"The practice provided equality and diversity training through elearning although we did not see evidence of this in staff records."

Positive

"None of the patients we spoke with had ever needed to make a complaint about the practice."

Neutral

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

Neutral

"We saw that the governance lead had been involved in this process and that policies were discussed at practice meetings."

Neutral

"The practice told us that governance was an integral part of the practice meetings it was embedded in the agenda and we saw evidence that performance quality and risk was discussed."