What is the Quality of Safety at Robin Lane Health and Wellbeing Centre

Positive

"There was evidence of investigation actions taken to improve safety in the practice and shared learning with staff."

Positive

"We saw evidence that lessons were shared and action was taken to improve safety in the practice."

Positive

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

Positive

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

Positive

"There was a health and safety policy available with a poster displayed in the reception office which identified local health and safety representatives."

Positive

"The practice had a comprehensive range of other risk assessments in place to monitor safety of the premises such as control of substances hazardous to health infection prevention and control and legionella."

Positive

"Systems had been put in place to reduce any potential risk to patient safety and improve ordering and rotation of stock."

Neutral

"Overview of safety systems and processes The practice had clearly defined and embedded systems processes and practices in place to keep people safe and safeguarded from abuse."

Neutral

"We saw evidence of: • A comprehensive electronic risk register which covered all aspects relating to risk management within the practice such as health and safety medicines management equipment business continuity infection prevention and control and significant events."

Neutral

"There was an induction programme for all newly appointed staff which covered such topics as safeguarding infection prevention and control fire safety health and safety and confidentiality."

Neutral

"• Staff received mandatory training that included safeguarding fire safety awareness basic life support and information governance."

Positive

"• We saw evidence of monthly meetings between the health visitor and lead GP for safeguarding to discuss vulnerable children and those with complex needs."

Neutral

"The health visitor attended a monthly safeguarding meeting and any child safeguarding issues or concerns were communicated to them."

Positive

"• We observed that staff treated patients with kindness dignity respect and compassion."

Positive

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

Positive

"• Comments from patient showed they were treated with compassion dignity and respect and were involved in decisions about their care and treatment."

Positive

"Staff understood their responsibilities in respect of these."

Positive

"• Curtains were provided in consulting and treatment rooms to maintain the patient’s dignity during examinations investigations and treatment."

Positive

"The practice undertook an annual review of complaints and we saw there was evidence of analysis of themes and trends and actions taken to learn from the complaint and prevent any reoccurrence."

Positive

"• There was an overarching governance framework which supported the delivery of the strategy and good quality care."

Positive

"Governance arrangements There were systems in place to enable good governance and oversight which were highly effective in allowing the partners to assess quality and identify and mitigate risk whilst driving improvements in services."

Positive

"• There were strong and visible clinical and managerial leadership and governance arrangements in place."

Positive

"• The practice had a bespoke overarching risk and governance assurance framework in place."

Neutral

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

Positive

"There was a comprehensive risk register in place quality assurance document which identified risks actions to mitigate the risk and what review arrangements were in place."

Positive

"There was evidence of quality improvement resulting from a programme of clinical audits."

Positive

"We saw there was strong collaboration and supportive ethos across all staff with a common focus on improving the quality of care and patients’ experiences: • Feedback was gathered from patients through patient engagement workshops and the Practice Participation and Involvement PPI group."

Positive

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