What is the Quality of Safety at Morland House Surgery

Positive

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

Positive

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

Positive

"Patients told us they were treated with dignity and respect and felt involved in planning their care and treatment needs."

Positive

"We also saw that staff treated patients with kindness and respect and maintained confidentiality."

Positive

"This showed them scoring eight points more than the national average in respect shown for patients and paying attention to confidentiality and privacy."

Positive

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

Positive

"All the patients we spoke with praised the caring attitude of the GPs and their ability to respond to their patients’ needs promptly with compassion and understanding."

Positive

"We were told that all patients were treated with the same dignity and respect whatever their health needs."

Positive

"We observed staff interacting with patients and we saw that patients were treated with dignity and respect."

Positive

"We spoke with patients from this population group who told us that all staff treated them with dignity and respect."

Positive

"The practice and all the staff we spoke with were aware of the practice population in respect of age ethnic origin and number of patients with long term conditions."

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

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

Positive

"There was a fire risk assessment in place as well as checks of fire safety equipment and fire safety training for staff."

Positive

"Reliable safety systems and processes including safeguarding One of the GP partners took the lead in safeguarding and we saw they had undertaken the appropriate level three training in the subject."

Positive

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

Positive

"Monitoring safety and responding to risk The practice had systems processes and policies in place to manage and monitor risks to patients staff and visitors to the practice."

Positive

"We saw that clinical audits were often linked to medicines management information national screening programmes safety alerts or as a result of information from the quality and outcomes framework QOF."

Positive

"However they told us they would not hesitate to report any instances where a colleague might be placing patient safety and care at risk to senior management or one of the GPs."

Positive

"For example reported incidents and national patient safety alerts as well as comments and complaints received from patients."

Positive

"Staff we spoke with knew which GP to report any concerns they had regarding safety of patients."

Positive

"The practice also had a health and safety policy."

Positive

"The health and safety policy was supported by a range of risk assessments."

Positive

"Health and safety information was available to staff."

Positive

"They had not been provided with sufficient up to date guidance to ensure that safety checks were effective and recorded appropriately."

Positive

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

Positive

"The practice requires improvement as not all systems ensured the safety of patients."

Positive

"However the recording of safety checks of emergency medicines and staff understanding of the importance of checks of fridge temperature required improvement."

Positive

"There was no system in place for these staff to report back to the practice manager to ensure appropriate action had been taken as a result of the safety alerts."

Positive

"Reliable safety systems and processes including safeguarding One of the GP partners who took the lead in safeguarding had taken part in training in the subject."

Positive

"There were systems in place to monitor quality and safety within the practice."

Positive

"• Equipment at the practice had been checked for safety and was in working order."

Neutral

"Staff had not been given clear guidance about the reason behind safety checks or when concerns should be escalated in order to mitigate any risks to patients."

Positive

"Cleanliness and infection control A lead nurse was responsible for infection control procedures at the practice."

Neutral

"For example there was a lead nurse for infection control a named GP was the lead for safeguarding."

Positive

"Cleanliness & Infection Control A lead nurse was responsible for infection control procedures at the practice."

Positive

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

Neutral

"We saw that all consultations and treatments were carried out in the privacy of a consulting or treatment room."

Neutral

"• Staff provided privacy during all consultations and reception staff maintained patient confidentiality when registering or booking in patients."

Positive

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

Positive

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

Positive

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

Neutral

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

Positive

"Some of the patients we spoke with were aware of the process to follow if they wished to make a complaint and others told us they were sure they could ask staff how to lodge a complaint if the need arose."

Positive

"Reception staff told us that if a patient approached them with a concern or complaint they would direct the patient to speak with the practice manager or would forward to the practice manager any written complaint."

Positive

"The practice manager kept a tracking sheet for each complaint to ensure it was dealt with in line with the practice complaints policy."

Positive

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

Positive

"Reception staff told us that if a patient approached them with a concern or complaint they would direct the patient to speak with the practice manager or would forward to the practice manager any written complaint."

Positive

"The practice manager kept a tracking sheet for each complaint to ensure it was dealt with in line with the practice complaints policy."

Positive

"There was an information governance policy and staff we spoke with were clear on their responsibilities to maintain confidentiality of patient data."

Neutral

"The practice included governance issues on the agenda of clinical team meetings."

Positive

"The practice manager and GPs demonstrated leadership in their governance arrangements as they used the information from incidents and significant events to minimise risk by identifying trends and themes that may affect care and service quality."

Positive

"All practice staff had received training in basic life support information governance and infection control."

Positive

"The practice had completed the national quality assurance process for ensuring it managed patient data safely and held it securely."