What is the Quality of Safety at Family Medical Centre

Positive

"Governance arrangements There were clear responsibilities roles and systems of accountability to support governance and management but these were not all operating effectively • Structures processes and systems to support good governance and management were clearly set out understood but not always effective."

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

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

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

"• The practice considered and understood the impact on the quality of care of service changes or developments."

Positive

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

Positive

"• There was a clear vision and set of values which were patientcentred compassion safety excellence and respect."

Positive

"The registered person had systems or processes in place that operating ineffectively in that they failed to enable the registered person to assess monitor and mitigate the risks relating to the health safety and welfare of service users and others who may be at risk."

Positive

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

Positive

"• There was a strong emphasis on the safety and wellbeing of all staff and staff felt supported by the management team."

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

"Not all safety systems were operating effectively."

Positive

"• We saw the practice acted on and learned from external safety events as well as patient and medicine safety alerts."

Positive

"• Practice leaders had established policies procedures and activities to ensure safety but they had not assured themselves that they were operating as intended."

Positive

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

Positive

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

Positive

"• The practice monitored and reviewed safety using information from a range of sources."

Neutral

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

Positive

"• Staff took steps including working with other agencies to protect patients from abuse neglect discrimination and breaches of their dignity and respect."

Positive

"Meetings were held to discuss the safeguarding register every six to eight weeks and the practice worked closely with the health visitor other practices the CCG and social services to keep patients safe."

Neutral

"The areas where the provider should make improvements are: • Continue to embed the system for patients to sign for controlled drug prescriptions."

Neutral

"Previously they had asked for three identifiers but had not asked patients to sign on collection."

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

"• The practice’s GP patient survey results were in line with local and national averages for questions relating to kindness respect and compassion."

Positive

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

Positive

"• Staff recognised the importance of people’s dignity and respect."

Positive

"• Staff were clear on their roles and accountabilities including in respect of safeguarding and infection prevention and control."

Positive

"• There was a clear vision and set of values which were patientcentred compassion safety excellence 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."

Positive

"• The practice actively promoted equality and diversity."

Neutral

"Staff had received equality and diversity training."

Positive

"• Information about how to make a complaint or raise concerns was available."

Positive

"The practice sent patients a letter to acknowledge their complaint followed by a response which addressed their concerns."

Positive

"• The complaint policy and procedures were in line with recognised guidance."

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."