What is the Quality of Safety at Barrowford Surgery Limited

Positive

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

Positive

"Requires improvement ––– People with long term conditions The practice is rated as requires improvement for safety and for wellled."

Positive

"Requires improvement ––– Families children and young people The practice is rated as requires improvement for safety and for wellled."

Positive

"We noted that health and safety risk assessments for the building and fire and legionella risk assessments were not in place."

Positive

"The provider did not assess monitor and improve the quality and safety on its services provided."

Positive

"Ensure staff be fully aware of evacuation procedures • Risk assessments must be in place including health and safety and legionella assessments • Emergency medications and equipment for emergency procedures must be in date and easily accessible."

Positive

"Lessons were shared to make sure action was taken to improve safety in the practice."

Positive

"They had failed to identify the risks associated with health and safety safe medication management fire and legionella."

Positive

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

Positive

"Older people The practice is rated as requires improvement for safety and for wellled."

Positive

"Working age people including those recently retired and students The practice is rated as requires improvement for safety and for wellled."

Positive

"For example when there are unintended or unexpected safety incidents people receive reasonable support truthful information a verbal and written apology and are told about any actions to improve processes to prevent the same thing happening again."

Positive

"• The practice had not undertaken risk assessments in in areas such as health and safety and legionella Legionella is a term for a particular bacterium which can contaminate water systems in buildings."

Positive

"• We reviewed safety records incident reports national patient safety alerts and minutes of meetings where these were discussed."

Positive

"The practice had systems in place for knowing about notifiable safety incidents When there were unexpected or unintended safety incidents: • The practice gave affected people reasonable support truthful information and a verbal and written apology • They kept written records of verbal interactions as well as written correspondence."

Positive

"Emergency medicines were not in place to ensure the safety of patients in an emergency."

Positive

"• We found that risk assessments such as health and safety fire and legionella were omitted and that systems were not in place to ensure patients were safe."

Positive

"People experiencing poor mental health including people with dementia The practice is rated as requires improvement for safety and for wellled."

Positive

"• The practice had an induction programme for newly appointed nonclinical members of staff that covered such topics as safeguarding health and safety and confidentiality."

Positive

"Action the service SHOULD take to improve • Have effective infection control systems in place with training for key staff and with links made with the Infection and Control IPC teams for advice and support."

Positive

"In addition the provider should: • Have effective infection control systems in place with training for key staff and with links made with the Infection and Control IPC teams for advice and support."

Positive

"• We saw whilst an infection control risk assessment had been completed other important risk assessments had been omitted."

Positive

"A member of staff was identified as the infection prevention and control IPC lead but had only received basic training in infection control and there had been no liaison with the IPC teams to keep up to date with best practice."

Positive

"• The majority of patients said they felt the practice offered an excellent service and staff were helpful caring and treated them with dignity and respect."

Positive

"The practice manager described how the staff aimed to provide a safe and effective service whilst treating patients with respect and dignity in a safe and friendly environment."

Positive

"Comment cards and discussions with patients • Results from the national GP patient survey showed patients were happy with how they were treated and that this was with compassion dignity and respect."

Positive

"• Patients said they were treated with compassion dignity and respect and they were involved in decisions about their care and treatment."

Positive

"• Patients said they were treated with dignity and respect and they were involved in their care and decisions about their treatment."

Positive

"For example: Results from the national GP patient survey showed patients felt they were treated with compassion dignity and respect."

Positive

"The patients’ brochure contained the mission statement ‘You can expect a level of care from this practice that is of the highest standard based on mutual respect and trust.’"

Positive

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

Positive

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

Positive

"Governance arrangements The practice had a limited governance framework to support the delivery of the strategy and good quality care: The arrangements for identifying recording and managing risks issues and implementing the mitigating actions were not fully embedded."

Positive

"• Staff received training that included: safeguarding basic life support and information governance awareness."

Positive

"• The governance arrangements were not fully embedded and this had led to gaps in safe management of the service."

Positive

"Clinical audits were carried out to demonstrate quality improvement and all relevant staff were involved to improve care and treatment and people’s outcomes."

Positive

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

Positive

"• Arrangements were in place to safeguard adults and children from abuse that reflected relevant legislation and local requirements and policies were accessible to all staff Requires improvement ––– Are services effective?"