What is the Quality of Safety at The Wycliffe Medical Practice

Positive

"Lessons were shared to make sure action was taken to improve safety in the practice but these needed to be evidenced more clearly."

Positive

"Lessons were shared to make sure actions were taken to improve safety to patients but these needed to be evidenced more clearly."

Positive

"The practice manager also worked closely with the local pharmacies in the area to ensure that they also had the safety alerts to ensure patient safety."

Positive

"• The practice had implemented an effective system for dealing with patient safety alerts."

Positive

"At this inspection we found an effective system in place receiving disseminating or actioning national patient safety alerts."

Positive

"• The practice had an effective system in place for dealing with patient safety alerts."

Positive

"A safety alert log was in place and we saw that actions from any safety alerts were undertaken and this included a search of patient records to ascertain if any patients needed a review of their medicines."

Positive

"We were told and we could see that safety alerts were discussed at meetings."

Positive

"However when there were unintended or unexpected safety incidents reviews and investigations were not thorough enough and lessons learned were not communicated widely enough to support improvement."

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 • All staff had received inductions and appraisals but not all staff were invited to attend meetings and events."

Positive

"However we saw that the practice had used the National Reporting and Learning System NRLS so that events could be shared externally to improve the safety of patients."

Positive

"• Implement a robust system for dealing with safety alerts."

Positive

"The practice had systems in place for knowing about notifiable safety incidents Since our inspection the practice had identified a number of areas where they felt there was room for improvement and had put in place an action plan to address this as part of their strategy going forward."

Positive

"National patient safety alerts were received by the practice manager via email."

Positive

"Since the inspection we have received information from the practice that all safety alerts will be discussed at each of the monthly clinical monthly GPnurse monthly GPadministrative staff meetings as a standing item on the agenda."

Positive

"• The practice had some measures in place for the safety and security of prescription pads and printer stationary."

Positive

"• The practice had a workplace risk assessment in place to monitor safety of the premises such as general building and slips trips and falls."

Positive

"For example we found that not all staff had received and fire safety training."

Neutral

"We were told it covered such topics as safeguarding infection prevention and control fire safety health and safety and confidentiality."

Neutral

"• There was no system in place to log safety alerts received or how they had been actioned."

Positive

"Patients said they felt the practice offered an excellent service and staff were polite 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

"Staff were caring and helpful and treated patients with dignity and respect."

Positive

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

Positive

"• We saw staff treated patients with kindness and respect and maintained patient and information confidentiality."

Positive

"To be approachable welcoming and to treat patients with compassion and kindness."

Positive

"Treated by professionals with compassion and understanding."

Positive

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

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

"However complaints were not tracked through the practice and there was no evidence of learning from complaints or findings shared with staff members in order to improve the quality of care provided."

Positive

"It did not contain general risks such slips trips and falls manual handling infection control legionella and fire safety."

Neutral

"At this inspection we found that the infection control lead had been on infection prevention and control update training and had disseminated information to the practice team."

Positive

"Since the inspection the practice has secured additional training for the infection control lead."

Neutral

"A practice nurse was the infection control clinical lead."

Neutral

"• There was an infection control protocol in place and staff had received up to date training."

Neutral

"The practice had carried out annual infection control audits and we saw evidence that action had been taken to address improvements identified as a result."

Positive

"Local community health teams support the GPs in provision of maternity and health visitor services."

Positive

"• The practice had improved the governance framework in place to support the delivery of the strategy and good quality care."

Positive

"• No system for the monitoring of training for all staff • Meeting minutes had limited recording of discussions about performance quality and risk At this most recent inspection we saw that the practice had governance systems in place and had made significant improvements."

Neutral

"We reviewed healthcare records policies and procedures relating to the clinical and general governance of the service."

Positive

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

Positive

"• Ensure there is an effective governance system in place to identify and mitigate risks to patients and staff in relation to the completion of actions for administration staff carrying out urine testing printer prescription stationary blue prescription pads used for substance misuse."

Neutral

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

Neutral

"This training that included: safeguarding fire procedures basic life support and information governance awareness."

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