What is the Quality of Safety at West Lancs Health Centre

Positive

"Privacy and dignity The service respected and promoted patients’ privacy and dignity."

Positive

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

Positive

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

Positive

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

Positive

"• There was a system for the management of safety alerts we saw these alerts were disseminated to individuals for action and management kept an oversight to ensure all were dealt with appropriately."

Positive

"• The service learned from external safety events and patient safety alerts."

Positive

"• Leaders had established proper policies procedures and activities to ensure safety and assured themselves that they were operating as intended."

Positive

"Our key findings were : • The service had comprehensive systems to manage risk so that safety incidents were less likely to happen."

Positive

"SOPs were numerous and included contagious disease management obtaining samples child protection lone working patient safety and capacity management."

Positive

"• The provider conducted safety risk assessments."

Positive

"Staff received safety information from the provider 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."

Positive

"This covered such topics as health and safety information governance and local procedures."

Positive

"• The service had a system in place that alerted staff to any specific safety or clinical needs of a person using the service."

Neutral

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

Neutral

"Staff had received training in data protection confidentiality and information governance."

Positive

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

Neutral

"One patient we spoke with suggested that a sign in reception about how to make a complaint would be helpful this information was available in patient leaflets to be found in the waiting area."

Positive

"Kindness respect and compassion Staff treated patients with kindness respect and compassion."

Positive

"• Staff involved and treated people with compassion kindness dignity and respect."

Positive

"Privacy and dignity The service respected and promoted patients’ privacy and dignity."

Positive

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

Positive

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

Positive

"• The service actively promoted equality and diversity."

Neutral

"All staff had received training in equality an diversity."

Neutral

"Staff had received equality and diversity training."

Positive

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

Positive

"One complaint related to an undiagnosed condition which led to hospital admission the case was reviewed and learning identified this was fed back to clinicians involved as part of their reflective learning."

Neutral

"One patient we spoke with suggested that a sign in reception about how to make a complaint would be helpful this information was available in patient leaflets to be found in the waiting area."

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 a clear and comprehensive threeyear strategic plan which was discussed regularly at governance and strategic meetings."

Positive

"This covered such topics as health and safety information governance and local procedures."

Neutral

"• Staff were trained in information governance and the service was registered with the information commissioner’s office ICO."

Positive

"• There was a common focus on improving the quality and sustainability of care."

Positive

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

Positive

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

Positive

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

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."