What is the Quality of Safety at GTD Healthcare Head Office

Positive

"Privacy and dignity The service respected and promoted patients’ privacy and dignity."

Positive

"Track record on safety The service had a good safety record."

Positive

"The service learned and shared lessons identified themes and acted to improve safety in the service."

Positive

"• All staff received uptodate safeguarding and safety training appropriate to their role."

Positive

"• There was a strong emphasis on the safety and wellbeing of all staff and this formed part of the organisation’s strategy."

Positive

"At this inspection we found: • The service had good systems to manage risk so that safety incidents were less likely to happen."

Positive

"• The service learned from external safety events and patient safety alerts."

Positive

"Induction for all staff consisted of an organisation overview including the vision and values a who’s who quiz safeguarding HR IT systems incident reporting health and safety and infection control."

Positive

"All staff were aware of the policy and understood their role with regards to it including ensuring that patient safety was a priority."

Positive

"• Leaders had established proper policies procedures and activities to ensure safety and assured themselves that they were operating as intended."

Positive

"• The provider conducted safety risk assessments."

Positive

"It had safety policies including Control of Substances Hazardous to Health and Health & Safety policies for all sites which were regularly reviewed and communicated to staff."

Positive

"Staff received safety information from the provider as part of their induction and refresher training."

Positive

"• There were comprehensive risk assessments in relation to safety issues."

Positive

"• There was a system for receiving and acting on safety alerts."

Positive

"• The service had a system in place that alerted staff to any specific safety or clinical needs of a person using the service."

Neutral

"This helped it to understand risks and gave a clear accurate and current picture that led to safety improvements."

Positive

"Staff took steps to protect patients from abuse neglect harassment discrimination and breaches of their dignity and respect."

Neutral

"There was an infection control lead in post and audits were carried out for all sites."

Positive

"Kindness respect and compassion Staff treated patients with kindness respect and compassion."

Positive

"• Staff involved and treated people with compassion kindness dignity and respect."

Positive

"Privacy and dignity The service respected and promoted patients’ privacy and dignity."

Positive

"Staff took steps to protect patients from abuse neglect harassment discrimination and breaches of their dignity and respect."

Positive

"• Staff were clear on their roles and accountabilities including in respect of safeguarding and infection prevention and control."

Positive

"• The service focused on the needs of patients and there was a strong focus on equality and diversity for example working with a local homeless charity and partnering with the LGBT foundation to improve services for transgender patients to address concerns raised by a patient."

Positive

"Staff felt they were treated equally and there was a commitment at all levels to the organisation’s equality and diversity action plan."

Positive

"• The service actively promoted equality and diversity."

Neutral

"Staff had received equality and diversity training."

Positive

"• The complaint policy and procedures were in line with recognised guidance."

Positive

"• Information about how to make a complaint or raise concerns was available and it was easy to do."

Positive

"• Structures processes and systems to support good governance and management were clearly set out understood and effective."

Positive

"Governance arrangements There were clear responsibilities roles and systems of accountability to support good governance and management."

Positive

"• Quality was overseen by a dedicated governance and data team who were also instrumental in supporting the organisation to achieve the goals set out in the organisational strategy."

Positive

"The governance team and GP advisors routinely reviewed the effectiveness and appropriateness of the care provided."

Positive

"• The governance and management of partnerships joint working arrangements and shared services promoted interactive and coordinated personcentred care."

Positive

"Feedback regarding events and findings were discussed during governance meetings and clinical service quality performance meetings which were attended by all heads of services."

Positive

"Within the governance team the engagement manager led on work to support frequent callers."

Positive

"They understood the challenges and were addressing them with a strong governance structures and developing staff to ensure they have the right staff in place to meet the demands on the service."

Positive

"The organisation structure from executive team governance and clinical leadership teams was made available to all staff and the service provided a “who’s who” guide with an induction quiz to ensure staff were visible within the organisation regardless of where staff were based."

Positive

"The governance team ensured that all external services concerned with the event were included in discussions when applicable and lessons learnt were shared with CCGs and other organisations."

Positive

"For example: ▪ Audits of consultations against nationally recognised standards were carried out quarterly by clinicians within the governance team."

Neutral

"This included updates from the senior management team governance updates learning and training events."

Positive

"• Quality and sustainability were discussed in relevant meetings where all staff had sufficient access to information."

Positive

"Outcomes were discussed within teams and summarised within quality assurance report for the board and shared with staff as part of the monthly ebulletin."

Positive

"The organisation looked at ways they could reward staff and teams for example hosting quality improvement awards and funding staff lunches for teams who had worked together on a successful project or done something above and beyond their role."

Positive

"• There were systems to support improvement and innovation work with quality improvement embedded across the organisation."

Positive

"Monitoring care and treatment The service had a comprehensive programme of quality improvement activity."

Positive

"Clinical audit had a positive impact on the quality of care and outcomes for patients."

Positive

"• Clinical audit had a positive impact on quality of care and outcomes for patients."

Positive

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