What is the Quality of Safety at Hill Top Surgery

Positive

"• Curtains were provided in consulting rooms to maintain patients’ privacy and dignity during examinations investigations and treatments."

Positive

"• The practice had a clear vision which had quality and safety as its top priority."

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

"• The practice had a clear vision with quality and safety as its top priority."

Positive

"The practice had a variety of other risk assessments in place to monitor safety of the premises such as control of substances hazardous to health and infection control and legionella Legionella is a term for a particular bacterium which can contaminate water systems in buildings."

Positive

"Overview of safety systems and processes The practice had clearly defined and embedded systems processes and practices in place to keep patients safe and safeguarded from abuse which included: • Arrangements were in place to safeguard children and vulnerable adults from abuse."

Positive

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

Positive

"This included support 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 was a health and safety policy available with a poster which identified local health and safety representatives."

Positive

"The practice manager had a health and safety checklist that was completed fortnightly."

Positive

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

Neutral

"This covered such topics as safeguarding infection prevention and control fire safety health and safety and confidentiality."

Positive

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

Positive

"Overview of safety systems and processes The practice had clearly defined and embedded systems processes and practices in place to keep patients safe and safeguarded from abuse which included: • Arrangements were in place to safeguard children and vulnerable adults from abuse."

Positive

"This was working with the Royal Oldham Hospital and was to look at how abuse affected behaviour."

Positive

"These included being involved in a joint working pilot with the local authority and a pilot for psychological medicine working with the Royal Oldham Hospital looking at how abuse affected behaviour."

Positive

"The practice had a variety of other risk assessments in place to monitor safety of the premises such as control of substances hazardous to health and infection control and legionella Legionella is a term for a particular bacterium which can contaminate water systems in buildings."

Positive

"We saw there had been an infection control meeting following the most recent audit to discuss the results and ensure staff were Are services safe?"

Positive

"The clinical director was the infection control clinical lead with a practice nurse taking day to day responsibility for the practice."

Positive

"The infection control lead circulated monthly infection control bulletins to ensure all staff had up to date information and guidance."

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."

Neutral

"For example: • Patients receiving end of life care carers those at risk of developing a longterm condition and those requiring advice on their diet smoking and alcohol cessation and other social issues."

Positive

"The practice had also recognised the need for a sign within the practice to be in other languages to avoid patients trying to access restricted areas."

Positive

"Results from the national GP patient survey showed patients felt they were treated with compassion dignity and respect."

Positive

"• Staff were encouraged to seek emotional support if needed and they had access to the inhouse counselling service."

Positive

"• Curtains were provided in consulting rooms to maintain patients’ privacy and dignity during examinations investigations and treatments."

Positive

"Senior GPs had recognised that emotional support and stress management was often not available for staff especially Are services wellled?"

Positive

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

Positive

"• The practice had strong and visible clinical and managerial leadership and governance arrangements."

Positive

"The practice was involved in a joint working pilot with the local authority and following a governance framework being put in place information was able to be shared."

Positive

"There was evidence of quality improvement including clinical audit: • There had been several clinical audits completed in the last two years including completed audits where the improvements made were implemented and monitored."

Positive

"• There was strong collaboration and support across all staff and a common focus on improving quality of care and patient’s experiences."

Positive

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