What is the Quality of Safety at Maple Access Surgery

Positive

"• Staff dealt with patients with kindness and respect and involved them in decisions about their care."

Positive

"Our key findings were as follows: • Patients were satisfied with the service and felt they were treated with dignity care and respect and involved in their care."

Positive

"Staff we spoke with were aware of the importance of caring for patients with respect dignity and compassion."

Positive

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

Positive

"Almost all of the comments stated that they were treated with respect and dignity and that staff were kind and understanding."

Positive

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

Positive

"We observed that they treated people with respect and ensured conversations were conducted in a confidential manner."

Positive

"The areas where the provider must make improvements are: • Establish effective systems and processes to ensure good governance in accordance with the fundamental standards of care."

Positive

"• Systems and processes to ensure good governance in accordance with the fundamental standards of care required had not always identified the shortfalls within the service."

Positive

"• Establish effective systems and processes to ensure good governance in accordance with the fundamental standards of care."

Positive

"• The overall governance arrangements were ineffective due to areas of risk which had not been identified prior to our inspection."

Positive

"For example governance complaints and safeguarding."

Positive

"Effective staffing equipment and facilities The practice had a comprehensive induction programme for new staff which included fire awareness information governance first aid and safeguarding."

Neutral

"The practice had a number of policies and procedures to govern activity and regular governance meeting had taken place."

Neutral

"For example the governance lead would review these and cascade to all relevant staff via email."

Neutral

"The practice held weekly meetings and governance was included in all meetings."

Positive

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

Positive

"We based our judgement of the quality of care at this service on a combination of: • what we found when we inspected • information from our ongoing monitoring of data about services and • information from the provider patients the public and other organisations."

Positive

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

Positive

"We based our judgement of the quality of care at this service on a combination of: • what we found when we inspected • information from our ongoing monitoring of data about services and • information from the provider patients the public and other organisations."

Positive

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

Positive

"• The practice did not have an adequate system in place to safely manage MHRA and other safety alerts."

Positive

"Reliable safety systems and processes including safeguarding We spoke with the practice administrator who informed us that the practice was continuing the process of agreeing and confirming any outstanding policies."

Positive

"We spoke with all staff who reported that there was good communication in the practice regarding safety issues."

Positive

"Learning and improvement from safety incidents The practice had a system in place for reporting recording and monitoring significant events."

Positive

"There were systems in place to ensure that safety alerts were shared with staff."

Positive

"Monitoring Safety & Responding to Risk The practice had procedures in place to assess manage and monitor risks to patient and staff safety."

Positive

"Information about safety was recorded monitored appropriately reviewed and addressed and risks to patients were assessed and well managed."

Positive

"For example there was a lead for health and safety and the senior partner was the lead for safeguarding."

Neutral

"We saw evidence of patient risk assessment to ensure the safety of patients and those around them."

Neutral

"Couches were washable and there were privacy blinds in the two treatment rooms."

Neutral

"Consultations took place in the privacy of a consultation room."

Positive

"Staff knew how to recognise signs of abuse in vulnerable adults and children."

Positive

"The practice had a comprehensive system in place for managing and reducing the potential for infection and we saw that an uptodate infection control policy was available."

Neutral

"We saw the results of this audit which had shown that staff were following infection control practices including hand washing specimen handling and training."

Neutral

"All practice staff had received infection control training and had regularly updated through inhouse training provided by the infection control lead."

Neutral

"All staff had access to the further information provided by the infection control lead."

Positive

"A health visitor attended the practice weekly and midwife three times a week to offer care advice and support to women during pregnancy and health and development advice to new mothers and their babies."

Positive

"If they failed to attend after three recalls then the health visitor would be notified."

Positive

"Safeguarding matters were routinely discussed at regular practice meetings with the health visitor the midwife district nurse and mental health nurse and we saw records which confirmed this."

Positive

"Tackling inequity and promoting equality The practice had recognised the needs of different groups in the planning of its services."

Positive

"A process was in place to analyse each complaint to determine if themes were emerging or identify trends in complaint rates or topics."

Positive

"The analysis for the last year identified the key learning point from each complaint investigation."