What is the Quality of Safety at The Leys Health Centre

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

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

Positive

"Patients’ privacy and dignity were respected."

Neutral

"The surgeries were fitted with privacy curtains and we saw that all doors were closed when consultations took place."

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 systems in place for acting on notifiable safety incidents and ensured this information was shared with staff to ensure appropriate action was taken."

Positive

"There were a variety of other risk assessments in place to monitor safety of the premises such as fire and infection control and legionella Legionella is a term for a particular bacterium which can contaminate water systems in buildings."

Positive

"Our key findings across all the areas we inspected were as follows: • There was an open and transparent approach to safety and an effective system in place for reporting and recording significant events."

Positive

"• When safety incidents occurred investigations took place and any action to improve processes was undertaken to prevent the same thing happening again."

Positive

"National patient safety alerts were shared with relevant staff and action taken to ensure any risks identified were acted on."

Positive

"There were health and safety policies available for staff."

Positive

"The practice had systems in place for acting on notifiable safety incidents When safety incidents occurred: • The practice gave information investigation outcomes and an apology when required."

Positive

"The practice was clean and tidy and systems were in place to identify and manage health and safety risks."

Positive

"The practice carried out audits to monitor safety and compliance with regulations and guidelines."

Positive

"These included health and safety and infection control risk assessments."

Positive

"Learning from Incidents The practice had systems in place to report and record safety incidents and concerns."

Positive

"This included health and safety risk assessments and infection control audits."

Positive

"Children at risk of abuse or harm were entered onto the computer record system and flagged to alert staff as well as family members of the at risk child."

Positive

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

Positive

"There was an adult safeguarding policy that listed the types of abuse how to identify the signs of each type of abuse and the action to take to respond to any concerns."

Positive

"There were a variety of other risk assessments in place to monitor safety of the premises such as fire and infection control and legionella Legionella is a term for a particular bacterium which can contaminate water systems in buildings."

Positive

"A practice nurse was the infection control clinical lead who followed appropriate 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."

Positive

"These included health and safety and infection control risk assessments."

Positive

"This included health and safety risk assessments and infection control audits."

Neutral

"Cleanliness & Infection Control The practice had an infection control lead who ensured consistent advice was made available to all staff."

Neutral

"Records showed that staff had completed infection control training."

Neutral

"This covered the infection control procedures that were in place and highlighted actions needed to address any issues that were found."

Positive

"There were appropriate procedures for evacuation including signage and assembly points."

Positive

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

Positive

"Patients told us staff were helpful caring and treated them with dignity and respect."

Positive

"All of the patients we spoke with told us the practice offered a caring service and that staff were helpful and treated them with dignity and respect."

Positive

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

Positive

"• We saw staff treated patients with kindness and respect and maintained patient confidentiality."

Positive

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

Positive

"Patients said they were always treated with dignity and that staff were kind caring and efficient."

Positive

"All of the patients told us they felt well cared for and were treated with dignity and respect at all times."

Positive

"The staff treated patients with respect and showed compassion and empathy."

Positive

"Patients’ privacy and dignity were respected."

Positive

"All of the patients felt they were treated with respect at all times."

Positive

"Minutes of these meetings showed the practice discussed each complaint in detail and set out action plans to stop similar complaints from happening again."

Positive

"There was a detailed complaint recording template that included the outcomes of the complaint and the action that was taken to resolve it."

Neutral

"Patients were involved in the complaints process and were asked for their views on how they would like the complaint to be resolved."

Positive

"Governance arrangements The practice had governance arrangements which supported the delivery of good quality care."

Neutral

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

Neutral

"The staff had completed equality and diversity training which helped them treat patients according to their individual needs."

Neutral

"All of the staff had received equality and diversity training within the past twelve months."

Positive

"Systems to monitor and improve quality & improvement The practice had systems of clinical audit to monitor and improve the quality of service it delivered."