What is the Quality of Safety at The Ruddington Medical Centre

Positive

"All but one told us they were satisfied with the care provided by the practice and said their dignity and privacy was respected."

Positive

"We saw that curtains were provided in consulting rooms and treatment rooms so that patients’ privacy and dignity was maintained during examinations investigations and treatments."

Positive

"Staff told us that if they had any concerns or observed any instances of discriminatory behaviour or where patients’ privacy and dignity was not being respected they would raise these with the practice manager."

Neutral

"Staff and patients told us that all consultations and treatments were carried out in the privacy of a consulting room."

Neutral

"The survey results showed the reception area did not provide enough privacy and patients conversations could be overheard."

Positive

"All staff were fully trained on the system and commented positively about the system’s safety and ease of use."

Positive

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

Positive

"Reliable safety systems and processes including safeguarding The practice had good systems and processes in place to keep patients safe and safeguarded from abuse."

Positive

"Records showed that safety incidents and concerns were appropriately dealt with."

Positive

"The GPs told us clinical audits were often linked to medicines management information safety alerts or as a result of information from the quality and outcomes framework QOF."

Positive

"This included acting upon advice given by occupational health to ensure the safety of staff and patients."

Positive

"There was a system in place to ensure that staff were aware of national patient safety alerts and where action needed to be taken."

Positive

"This included infection control health and safety recruitment and management of unforeseen circumstances emergencies."

Positive

"This showed the practice monitored and reviewed risks related to safety incidents over the long term."

Positive

"There was also a health and safety representative but not all staff were aware who they were."

Positive

"There was a health and safety poster displayed for staff reference."

Neutral

"Monitoring safety and responding to risk The practice had a health and safety policy which staff had access to."

Neutral

"The management team told us risks were regularly discussed at their meetings; including agreeing mitigating actions to ensure the safety of patients and staff."

Positive

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

Positive

"Staff we spoke with knew how to recognise signs of abuse in children young people and vulnerable adults."

Positive

"This included a safeguarding policy which provided guidance for staff to take when suspected abuse and or concerns were identified."

Positive

"We found appropriate systems were in place to ensure patients were safeguarded from abuse equipment was safely maintained and the management of medicines."

Positive

"This was discussed with the infection control lead to ensure improved recording on cleaning schedules."

Positive

"This included infection control health and safety recruitment and management of unforeseen circumstances emergencies."

Positive

"Cleanliness and infection control Patients we spoke with told us they always found the practice clean and had no concerns about cleanliness or infection control."

Positive

"An infection control policy and supporting procedures were available for staff to refer to when planning and implementing measures to control infection."

Positive

"We noted that polices relating to infection control and prevention required updating to ensure there were relevant to the practice and this was discussed with the management."

Neutral

"This included infection control policies procedures for dealing with emergencies and staff records."

Neutral

"The practice had a lead for infection control who had undertaken further training to enable them to provide advice on the practice infection control policy and carry out staff training."

Neutral

"We saw that personal protective equipment including disposable gloves aprons and coverings were available for staff to use and staff were able to describe how they would use these to comply with the practice’s infection control policy."

Neutral

"For example there was a lead nurse for infection control and the senior partner was the lead for safeguarding."

Positive

"For example the practice worked closely with the midwife and health visitor to provide antenatal care baby clinics and immunisation services for children."

Neutral

"Meeting minutes reviewed showed monthly multidisciplinary meetings were held with the GPs practice nurse health visitor school nurse and midwife."

Neutral

"In response to this reception staff received additional training in handling personal patient information and a sign was cited in the waiting room asking patients to wait until the reception desk was available."

Positive

"Most patients described the staff as friendly caring and helpful and felt that they were treated with dignity and respect."

Positive

"The practice also reviewed its prescribing data in respect of patterns of antibiotic hypnotics and sedatives to ensure appropriate action was taken to address any areas of concern and or promote good practice."

Positive

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

Positive

"The practice achieved high scores in respect of involving patients in decisions about their care and lower scores in respect of continuity of care phone access and the appointment system."

Positive

"The evidence from all these sources showed most patients were satisfied with how they were treated and this was with compassion dignity and respect."

Positive

"Patientcarer support to cope emotionally with care and treatment The survey information we reviewed showed patients were positive about the emotional support provided by the practice and rated it well in this area."

Positive

"All but one told us they were satisfied with the care provided by the practice and said their dignity and privacy was respected."

Positive

"However recording systems in respect of the management of the practice and staff employed needed strengthening to ensure a safe service."

Positive

"Effective systems were in place in respect of information sharing with other services and promoting health promotion and prevention."

Positive

"This included working with care home staff in respect of advance care planning for people with dementia and referral to a local memory clinic for patients identified at risk of dementia."

Positive

"Some patients felt improvements were required in respect of the availability of nonurgent appointments in particular if they wished to see a specific GP or outside working hours."

Positive

"The practice staff also liaised with the specialist diabetic nurse in respect of insulin initiation and continual monitoring of diabetic patients."

Positive

"Some patients felt improvements were required in respect of the availability of nonurgent appointments in particular if they wished to see a specific GP."

Positive

"For example audits had been undertaken in respect of cervical smears diabetic needle cost and a range of medicines."

Positive

"We saw that curtains were provided in consulting rooms and treatment rooms so that patients’ privacy and dignity was maintained during examinations investigations and treatments."

Positive

"Staff told us that if they had any concerns or observed any instances of discriminatory behaviour or where patients’ privacy and dignity was not being respected they would raise these with the practice manager."

Positive

"Health promotion and prevention The practice ethos in respect of health promotion stated “we firmly believe that preventing illness is better than trying to control or cure it”."

Positive

"Staff we spoke with told us they had no concerns in respect of these areas."

Positive

"We were also shown the staff handbook that was available to all staff which included sections on whistleblowing equality and harassment and bullying at work."

Positive

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

Neutral

"The practice provided equality and diversity training through elearning."

Positive

"None of the patients we spoke with had ever needed to make a formal complaint about the practice."

Positive

"These governance arrangements needed strengthening to ensure the practice continued to provide high standards of service."

Neutral

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

Positive

"This local peer review system was also supported by the Rushcliffe CCG which produced reports for comparison amongst the practices to support their quality improvement work."

Positive

"These findings were discussed with the practice management who acknowledged improving patient access was already a part of their quality improvement work."

Positive

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