What is the Quality of Safety at Crich Medical 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 were systems in place for notifiable safety incidents that ensured relevant information was shared with staff to ensure appropriate action was taken."

Positive

"Lessons were shared to make sure action was taken to improve safety in the practice and these were reviewed six monthly."

Positive

"• The practice had processes in place to monitor safety of the premises such as control of substances hazardous to health and legionella Legionella is a bacterium which can contaminate water systems in buildings."

Positive

"When there were unexpected or unintended safety incidents the practice offered affected people support provided explanations and verbal or written apologies where appropriate."

Positive

"Overview of safety systems and processes The practice had clearly defined and embedded systems and processes in place to keep patients safe."

Positive

"There was a health and safety policy available which was accessible to all staff electronically."

Positive

"• There were systems in place to manage safety alerts including medicines alerts which were acted upon."

Positive

"For example prescribing an alternative medicine if a concern had been raised about the safety of a particular medicine."

Neutral

"For example; central records of staff immunity status records of some face to face mandatory training that was not included within their elearning database and recording of actions taken following safety alerts."

Neutral

"It 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

"For example: • The practice had suitable arrangements to safeguard children and vulnerable adults from abuse which reflected relevant legislation and local requirements."

Positive

"• To formalise infection control audits and action plans and review progress regularly to ensure that recommendations made are completed."

Positive

"Ensure that planned refurbishment of branch practices meets with infection control standards."

Positive

"We were assured by the CCG infection control lead as well as the practice that the most urgent issues had been addressed and there was a longer term plan to address those remaining."

Neutral

"The practice had a Lead Nurse as the nominated infection control lead who was able to liaise with the CCG infection control lead."

Neutral

"There was an infection control policy in place and staff had received infection control training for example training in handwashing and specimen handling."

Neutral

"We saw that an audit had been carried out in the preceding two weeks in conjunction with the CCG infection control lead."

Positive

"• The practice worked closely with an onsite midwife and health visitor who told us that they had a positive relationship with the practice."

Positive

"Records reviewed showed quarterly safeguarding meetings took place where the GP practice nurse and health visitor discussed patients in vulnerable circumstances including children."

Positive

"These meetings included a GP care coordinator community health team representatives community matron district nurse health visitor social work team and the community mental health team where required."

Positive

"Patients said they felt the practice offered an excellent service and staff were helpful caring and treated them with dignity and respect."

Positive

"• Feedback from patients was that they were treated with kindness dignity and respect and were involved in decisions about their care."

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

"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

"This ranged from performance in respect of access to appointments patient satisfaction and clinical performance."

Positive

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

Neutral

"For example after receiving a complaint about the telephone system the practice discussed this at their practice meeting and are looking at how they can implement a more suitable system."

Positive

"Governance arrangements The practice had effective governance systems in place which supported the delivery of good quality care."

Neutral

"GPs had a lead role in an aspect of management which contributed to the governance agenda."

Positive

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

Positive

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