What is the Quality of Safety at Eastbury Surgery

Positive

"Good As part of our inspection process we also look at the quality of care for specific population groups."

Positive

"• Clinical audit had a positive impact on quality of care and outcomes for patients."

Positive

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

Positive

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

Positive

"Privacy and dignity The practice respected patients’ privacy and dignity."

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

"Track record on safety The practice had a good safety record."

Positive

"For example the practice had participated in a local prescribing pilot to improve safety efficiency and cost effective prescribing."

Positive

"• Staff were clear on their roles and accountabilities including in respect of safeguarding and infection prevention and control • Practice leaders had established proper policies procedures and activities to ensure safety and assured themselves that they were operating as intended."

Positive

"The practice learned and shared lessons identified themes and took action to improve safety in the practice."

Positive

"• All staff received uptodate safeguarding and safety training appropriate to their role."

Positive

"• There was a strong emphasis on the safety and wellbeing of all staff."

Positive

"The practice learned from external safety events as well as patient and medicine safety alerts."

Positive

"Practice leaders had oversight of national and local safety alerts incidents and complaints."

Positive

"• The practice had a suite of safety policies including adult and child safeguarding policies which were regularly reviewed and communicated to staff."

Positive

"Staff received safety information for the practice as part of their induction and refresher training."

Positive

"• There were comprehensive risk assessments in relation to safety issues."

Positive

"• There was a system for receiving and acting on safety alerts."

Neutral

"At this inspection we found: • The practice had clear systems to manage risk so that safety incidents were less likely to happen."

Neutral

"This helped it to understand risks and gave a clear accurate and current picture that led to safety improvements."

Positive

"• There was an effective system in place for reporting and recording significant events • Lessons were shared to make sure action was taken to improve safety in the practice."

Positive

"Our key findings across all the areas we inspected were as follows: • There was an open and transparent approach to safety and an effective system in place for reporting and recording significant events."

Positive

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

Positive

"• 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

"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

"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 • The practice proactively sought feedback from staff and patients which it acted on."

Positive

"There was a health and safety policy available."

Positive

"The practice had a risk log in place to monitor safety of the premises which was reviewed monthly."

Positive

"The practice had systems in place for knowing about notifiable safety incidents."

Positive

"When there were unexpected or unintended safety incidents: • The practice gives affected people reasonable support truthful information and a verbal and written apology."

Positive

"• The practice participated in pilot projects including a technology enabled diabetes support service two month programme that provides structured education peer group support and personalised health coaching from a dietician through an app prescribing and data protection pilots."

Positive

"Staff took steps to protect patients from abuse neglect harassment discrimination and breaches of their dignity and respect."

Positive

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

Positive

"For example they had carried out a wide variety of audits relating to patient access patients with AF Atrial Fibrillation referrals to secondary care ophthalmology service antibiotic prescribing infection control confidentiality prostate cancer and patients at high risk of diabetes."

Positive

"A practice nurse was the infection control clinical lead who liaised with the local infection prevention teams to keep up to date with best practice."

Neutral

"There was an infection control protocol in place and staff had received up to date training."

Neutral

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

Positive

"If unsuccessful the practice liaised with the health visitor who contacted the family and discussed the outcome with a lead GP partner on a monthly basis."

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

"Privacy and dignity The practice respected patients’ privacy and dignity."

Positive

"• Staff recognised the importance of patients’ 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 proper policies procedures and activities to ensure safety and assured themselves that they were operating as intended."

Positive

"Staff took steps to protect patients from abuse neglect harassment discrimination and breaches of their dignity and respect."

Positive

"For example patients concerns in respect of access to appointments had been acted on."

Positive

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

Positive

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

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 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

"• The practice actively promoted equality and diversity."

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."

Positive

"• Structures processes and systems to support good governance and management were clearly set out understood and effective."

Positive

"Governance arrangements There were clear responsibilities roles and systems of accountability to support good governance and management."

Positive

"The governance and management of partnerships joint working arrangements and shared services promoted interactive and coordinated personcentred care."

Positive

"• There was an overarching governance framework which supported the delivery of the strategy and good quality care."

Positive

"Governance arrangements The practice had an overarching governance framework which supported the delivery of the strategy and good quality care."

Neutral

"The practice had a number of policies and procedures to govern activity and held regular governance meetings."

Neutral

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

Positive

"• Quality and sustainability were discussed in relevant meetings where all staff had sufficient access to information."

Positive

"Monitoring care and treatment The practice had a comprehensive programme of quality improvement activity and routinely reviewed the effectiveness and appropriateness of the care provided."

Positive

"• The practice was actively involved in quality improvement activity."