Latest Snippet(s)
Positive
"Privacy and dignity The practice respected patients’ privacy and dignity."
2015-06-04 Snippet(s)
Positive
"We saw that all consultations and treatments were carried out in the privacy of a consulting room and 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."
Latest Snippet(s)
Positive
"There was evidence of actions taken to support good antimicrobial stewardship which aims to improve the safety and quality of patient care by changing the way antimicrobials are prescribed so it helps slow the emergence of resistance to antimicrobials thus ensuring antimicrobials remain an effective treatment for infection."
Positive
"• Staff were clear on their roles and accountabilities including in respect of safeguarding and infection prevention and control • Practice leaders had established policies procedures and activities to ensure safety however some of these needed expanding to provide assurance."
Positive
"The practice learned and shared lessons and took action to improve safety in the practice."
Positive
"All staff received uptodate safeguarding and safety training appropriate to their role."
Positive
"We saw through emails kept by the practice and by reviewing searches made within the clinical system that safety alerts were actioned appropriately as needed."
Positive
"Track record on safety We reviewed the practice’s track record on safety."
Positive
"• The practice acted on and learned from external safety events as well as patient and medicine safety alerts."
Positive
"On the day of our inspection the practice informed us that they would develop an electronic log of all safety alerts with records of actions taken as a matter of priority."
Positive
"Practice leaders had oversight of safety alerts incidents and complaints."
Positive
"At this inspection we found: • The practice had systems to manage risk so that safety incidents were less likely to happen."
Positive
"• However we found gaps in their safety and risk management systems in particular risks associated with staff performing chaperone duties without an appropriate background check had not been assessed."
Positive
"• Maintain a log of actions taken in response to all safety alerts received."
Positive
"This helped it to understand risks and gave a clear accurate and current picture of safety that led to safety improvements."
Positive
"We saw that the lead nurse kept a log of safety alerts that she actioned however the practice did not maintain an overall log of all alerts."
Positive
"• There was an emphasis on the safety and wellbeing of all staff."
Positive
"The practice did not have a system to record all incidents or events occurring that impacted on patient or staff safety or that lead to changes andor improvements as a result of learning."
Neutral
"The practice advised that they would request formal reports for all staff to ensure risks to patient and staff safety were minimised."
Neutral
"• There were comprehensive risk assessments in relation to health and safety issues including COSHH and Fire safety."
Neutral
"• The practice monitored and reviewed activity for example through review of significant events complaints and safety alerts as they occurred."
2015-06-04 Snippet(s)
Positive
"Staff commented positively about the system’s safety and ease of use."
Positive
"Information about safety was recorded monitored appropriately reviewed and addressed."
Positive
"National patient safety alerts were received by the practice manager and practice nurse and cascaded to the appropriate staff."
Positive
"Monitoring safety and responding to risk The practice had systems processes and policies in place to manage and monitor 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
"For example reported incidents and national patient safety alerts as well as comments and complaints received from patients."
Positive
"Reliable safety systems and processes including safeguarding The practice had systems to manage and review risks to vulnerable children young people and adults."
Positive
"The practice had a health and safety policy which staff were advised to read in the employee handbook."
Positive
"The practice also carried out other audits in response to safety alerts and other areas when deemed relevant."
Neutral
"We reviewed safety records incident reports the complaints folder and minutes of meetings where these were discussed for the last year which showed that the practice had managed these consistently over time and could show evidence of a safe track record over the long term."
Latest Snippet(s)
Positive
"• Staff took steps including working with other agencies to protect patients from abuse neglect discrimination and breaches of their dignity and respect."
Positive
"Safety systems and processes The practice had systems to keep people safe and safeguarded from abuse however some systems needed strengthening."
2015-06-04 Snippet(s)
Positive
"Staff knew how to recognise signs of abuse in vulnerable adults and children."
Positive
"Staff were able to tell us how they would recognise signs of abuse in older people vulnerable adults and children."
Latest Snippet(s)
Positive
"At the time of our inspection the lead nurse was planning to attend an infection control advanced training course to support her in her recently appointed role as infection control lead."
2015-06-04 Snippet(s)
Positive
"Cleanliness and infection control We observed the premises to be clean and tidy and saw that there were cleaning schedules in place and cleaning records were kept."
Neutral
"The practice had a lead for infection control who had undertaken training in infection control policy."
Neutral
"All staff had received training about infection control specific to their role and received annual updates."
Neutral
"There was an infection control policy but this required review and updating."
Neutral
"Personal protective equipment including disposable gloves aprons and coverings were available for staff to use and staff were able to describe how they would use these to comply with the practice’s infection control policy."
Neutral
"For example there was a lead nurse for infection control and a GP lead for safeguarding."
2015-06-04 Snippet(s)
Positive
"However we noted that there was no sign or poster advertising the complaints procedure in the waiting area."
Positive
"• Ensure that signage in the reception area advertising the availability of an interpreter is in other languages."
Positive
"• The practice should ensure that signage in the reception area advertising the availability of an interpreter is in other languages."
Neutral
"We saw notices in the reception areas informing patents this service was available however we noted that the signage was only in English."
Latest Snippet(s)
Positive
"Kindness respect and compassion Staff treated patients with kindness respect and compassion."
Positive
"• Staff involved and treated patients with compassion kindness dignity and respect."
Positive
"• Staff were clear on their roles and accountabilities including in respect of safeguarding and infection prevention and control • Practice leaders had established policies procedures and activities to ensure safety however some of these needed expanding to provide assurance."
Positive
"Privacy and dignity The practice respected patients’ privacy and dignity."
Positive
"• Staff recognised the importance of people’s dignity and respect."
Positive
"• Staff took steps including working with other agencies to protect patients from abuse neglect discrimination and breaches of their dignity and respect."
2015-06-04 Snippet(s)
Positive
"Patients told us that they received excellent care and were treated with dignity and respect and that they felt safe."
Positive
"Patients also expressed personally to us during our inspection their high satisfaction with the caring compassionate staff and kindness they received at the practice and how they felt safe and involved in 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
"All patients we spoke with told us that the doctors and nurses treated them with respect and dignity and reported positively regarding the caring nature of GPs and all the staff."
Positive
"Patientcarer support to cope emotionally with care and treatment The survey information we reviewed showed patients were positive about the emotional support provided by the practice and rated it well in this area."
Positive
"They said staff treated them with dignity and respect."
Positive
"We saw that all consultations and treatments were carried out in the privacy of a consulting room and 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."
Latest Snippet(s)
Positive
"• The practice actively promoted equality and diversity."
2015-06-04 Snippet(s)
Positive
"Tackling inequity and promoting equality The practice had recognised the needs of different groups in the planning of its services."
Latest Snippet(s)
Positive
"For example when a complaint was received from a patient about a prescription error the practice reviewed its process and provided refresher training to staff to reduce the risk of recurrence."
Positive
"• Information about how to make a complaint or raise concerns was available."
Positive
"• The complaint policy and procedures were in line with recognised guidance."
2015-06-04 Snippet(s)
Positive
"None of the patients we spoke with had ever needed to make a complaint about the practice."
Latest Snippet(s)
Positive
"• Structures processes and systems to support good governance and management were clearly set out understood and effective."
Positive
"The governance and management of partnerships joint working arrangements and shared services promoted coordinated personcentred care."
Positive
"Governance arrangements There were clear responsibilities roles and systems of accountability to support governance and management."
2015-06-04 Snippet(s)
Neutral
"The practice had a number of policies and procedures to govern activity and held regular governance meetings."
Neutral
"The practice held weekly practice and partners meetings and any governance issues were addressed as required."
Latest Snippet(s)
Positive
"• Quality and sustainability were discussed in relevant meetings where all staff had sufficient access to information."
Latest Snippet(s)
Positive
"Monitoring care and treatment The practice had a programme of quality improvement activity and routinely reviewed the effectiveness and appropriateness of the care provided which included where appropriate participation in local and national improvement initiatives."
Positive
"• Although we saw some evidence of quality improvement activity we found that the practice did not have a programme of regular clinical audit."
Latest Snippet(s)
Positive
"This report describes our judgement of the quality of care at this service."
Positive
"• The practice considered and understood the impact on the quality of care of service changes or developments."
2015-06-04 Snippet(s)
Positive
"This report describes our judgement of the quality of care at this service."