What is the Quality of Safety at Avenham Surgery

Positive

"Privacy and dignity The practice respected patients’ privacy and dignity."

Positive

"The practice premises risk assessment tools were in the process of being adopted for use by the practice however many general risk assessments for the building were in place such as the electrical and gas safety certificates and fire risk assessments."

Positive

"Track record on safety The practice generally had a good track record on safety."

Positive

"We saw there were risk assessments in place for the building generally in the form of an electrical safety certificate gas safety certificate and fire legionella and asbestos risk assessments."

Positive

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

Positive

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

Positive

"• There was a strong emphasis on the safety and wellbeing of all staff."

Positive

"• The practice acted on and learned from external safety events as well as patient and medicine safety alerts."

Positive

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

Positive

"Practice leaders had oversight of national and local safety alerts incidents and complaints."

Positive

"• Implement the new risk assessment tools to assure the daytoday safety of the surgery premises."

Positive

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

Neutral

"At this inspection we found: • The practice had clear systems to manage risk so safety incidents were less likely to happen."

Positive

"• Staff took steps including working with other agencies to protect patients from abuse neglect harassment discrimination and breaches of their dignity and respect."

Positive

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

Positive

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

Positive

"Privacy and dignity The practice respected patients’ privacy and dignity."

Positive

"• Staff recognised the importance of people’s dignity and respect."

Positive

"• Staff took steps including working with other agencies 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 practice actively promoted equality and diversity."

Neutral

"Staff had received equality and diversity training."

Positive

"• Information about how to make a complaint or raise concerns was available."

Positive

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

Positive

"For example as a result of a complaint regarding the practice cervical screening service the practice reviewed and amended the patient recall system to try to ensure all patients with an abnormal result were recalled to the practice."

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 practice had reviewed all governance systems when the new provider had taken over the practice to ensure the governance and management of partnerships joint working arrangements and shared services promoted interactive and coordinated personcentred care."

Positive

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

Positive

"The practice was a training practice for medical students and these students also carried out quality improvement work such as audit and producing patient leaflets."

Positive

"• The practice 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."