What is the Quality of Safety at Highview Medical Centre

Positive

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

Positive

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

Positive

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

Positive

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

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

"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

"• Lessons were shared to make sure action was taken to improve safety in the practice."

Positive

"We reviewed a safety alert related to a medicine used to treat overactive bladder and found the practice had acted on the recommendation to be aware of a contradiction in prescribing this medicine to patients with severe uncontrolled hypertension high blood pressure."

Positive

"Subsequently we saw that the practice had worked with the local authority and the community mental health services to agree a plan for their safety and wellbeing."

Positive

"This included support training for all staff on communicating with patients about notifiable safety incidents."

Positive

"The practice had systems in place to ensure that when there were unexpected safety incidents: • The practice gave affected people reasonable support and explanation."

Positive

"We reviewed safety records incident reports national patient safety alerts and minutes of meetings where these were discussed."

Positive

"The practice had a process in place to act on alerts that may affect patient safety for example from the Medicines and Healthcare products Regulatory Agency MHRA."

Positive

"• There was a health and safety policy available."

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

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

Positive

"The nurse practitioner was the infection control clinical lead who liaised with the local infection prevention team to keep up to date with best practice."

Neutral

"There was an infection control protocol in place and staff had received up to date training."

Neutral

"The practice undertook annual infection control audits."

Neutral

"The practice actively monitored pre diabetic patients and had a system identify such patients and provide them with diet and lifestyle advice."

Positive

"• The practice held regular health visitor liaison and multidisciplinary team meetings to discuss the care needs of specific patients."

Neutral

"There were regular meetings with the health visitor to discuss patients who were on child protection plans."

Positive

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

Positive

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

Positive

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

Positive

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

Positive

"Comments also referred to the caring manner of the GPs and other clinical staff especially when emotional support was needed."

Positive

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

Positive

"• There was a governance framework which supported the delivery of good quality care."

Positive

"Governance arrangements The practice had a governance framework which supported the delivery of its objectives and future developments."

Positive

"For example there were nominated GP leads for safeguarding medicine management clinical governance and palliative care."

Neutral

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

Positive

"There was evidence of quality improvement including clinical audit."

Positive

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

Positive

"Improvements were made to the quality of care as a result of complaints and concerns."