What is the Quality of Safety at Vocare House

Positive

"The service had systems in place for notifiable safety incidents and ensured this information was shared with staff to ensure appropriate action was taken."

Positive

"A number of risk assessments had been developed and undertaken; including a fire and a health and safety risk assessment."

Positive

"Our key findings were as follows: • There was an open and transparent approach to safety and an effective system in place for recording reporting and learning from significant events."

Positive

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

Positive

"We saw evidence that lessons were shared and action was taken to improve safety in the service."

Positive

"• Staff understood and fulfilled their responsibilities with regard to raising concerns recording safety incidents and reporting them both internally and externally."

Positive

"When there were unintended or unexpected safety incidents patients received reasonable support truthful information and verbal or written apologies."

Positive

"Overview of safety systems and processes The practice had systems processes and practices in place to keep people safe although improvements could be made: • Arrangements were in place to safeguard children and vulnerable adults from abuse."

Positive

"This improved safety for drivers and clinicians as the control room always knew where the cars were located."

Positive

"This included support and training for all staff on communicating with patients about notifiable safety incidents."

Positive

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

Positive

"• There were systems in place to ensure the safety of the out of hours vehicles."

Positive

"There was a health and safety policy available with posters throughout the premises."

Positive

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

Positive

"• Staff treated patients with kindness and respect and maintained confidentiality."

Positive

"• Curtains were provided in consulting rooms so that patients’ privacy and dignity was maintained during examinations investigations and treatments."

Positive

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

Positive

"Improvements were made to the quality of care as a result of complaints and concerns."

Positive

"• Curtains were provided in consulting rooms so that patients’ privacy and dignity was maintained during examinations investigations and treatments."

Positive

"• Premises were clean and hygienic and good infection control arrangements were in place."

Positive

"The service employed cleaning staff at Vocare House but cleaning and infection control arrangements were carried out by the hospital trusts at the seven other sites."

Positive

"There were no processes in place to monitor that this training including children’s safeguarding basic life support and infection control had been completed by the GPs."

Neutral

"Annual infection control audits were undertaken and we saw evidence that action was taken to address any improvements identified as a result."

Positive

"The service had a mandatory training programme that covered topics such as information governance equality and diversity child protection and infection control."

Positive

"For example following a complaint about the lack of support for a visually impaired patient; an agreement was made with an organisation to provide information in a braille format."

Positive

"Each complaint was then allocated to an independent person or team to investigate."

Positive

"Governance arrangements The arrangements for governance and performance management did not always operate effectively."

Positive

"There was insufficient governance and oversight to provide assurance that; recruitment processes were safe and that action was taken to address areas of known concern including the monitoring and recording of staff training requirements."

Positive

"• Ensure oversight and governance arrangements are in place to provide assurance that; recruitment processes are safe and that action is taken to address areas of known concern including the monitoring and recording of staff training requirements."

Positive

"Ensure oversight and governance arrangements are in place to provide assurance that; recruitment processes are safe and that action is taken to address areas of known concern including the monitoring and recording of staff training requirements."

Positive

"The service had a mandatory training programme that covered topics such as information governance equality and diversity child protection and infection control."

Neutral

"• The governance arrangements for ensuring safe recruitment and training of staff were insufficient."

Neutral

"Monitoring reviews and clinical governance meetings were regularly held."

Positive

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