What is the Quality of Safety at BARDOC - Rochdale UCC

Positive

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

Positive

"The provider had a variety of risk assessments in place to monitor safety of the premises such as fire risk control of substances hazardous to health COSHH legionella and the testing of electrical and clinical equipment."

Positive

"Overview of safety systems and processes The provider 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

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

Positive

"We saw evidence that lessons were shared via the internal intranet staff bulletins or emails; and action was taken to improve safety in the organisation."

Positive

"Call handling staff of all disciplines received regular call audits to monitor effectiveness and safety standards."

Positive

"Our key findings across all the areas we inspected were as follows: • The provider demonstrated an open and transparent approach to safety and systems were in place for reporting recording and providing feedback on significant events."

Positive

"The service had systems in place to record and manage safety incidents and ensured this information was shared with staff and any necessary action was taken."

Positive

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

Positive

"Patient satisfaction patient safety friends and family test results and Healthwatch information was also discussed."

Neutral

"This covered such topics as integrated clinical governance information governance safeguarding infection prevention and control fire safety health and safety and confidentiality."

Positive

"Overview of safety systems and processes The provider 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

"• Signage for patients attending the out of hours service at the Rochdale Urgent Care Centre was not clear and the provider should take steps to improve the signage to ensure patients are clearly directed to the out of hours reception desk."

Positive

"We saw that signage for patients accessing the out of hours service was not clear."

Neutral

"In addition they were the first OOH service in the North of England to sign up for Child Protection Information Sharing agreements CPIS."

Positive

"• Patients said they were treated with compassion dignity and respect by helpful polite and caring staff."

Positive

"The vision and ethos was to put patients at the heart and core of the service to ensure that they had a positive experience of using the service which was safe maintained their dignity and treated them with respect to deliver the most appropriate outcome at the time."

Positive

"• We saw staff treated patients with kindness and respect during face to face interactions."

Positive

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

Positive

"Complaints were investigated and patients received an apology and explanation of actions taken following their complaint • Staff had access to comprehensive safeguarding policies and procedures and received training appropriate to their role."

Positive

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

Positive

"Governance arrangements The provider had an overarching governance framework which supported the delivery of the strategy and good quality care."

Positive

"The integrated clinical and governance committee reviewed the activity at each site against the national quality requirements."

Positive

"• The integrated clinical governance and risk committee identified relevant updates from NICE; and policies procedures and clinical standards were updated accordingly."

Neutral

"Regular governance meetings were held."

Neutral

"• Incidents were discussed at the monthly governance meeting and reviewed at the quarterly board meeting."

Neutral

"This covered such topics as integrated clinical governance information governance safeguarding infection prevention and control fire safety health and safety and confidentiality."

Neutral

"Monitoring meetings and clinical governance meetings were held."

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

"The data provided information to the provider and commissioners about the level and quality of service being provided."