What is the Quality of Safety at Ashingdon Medical Centre

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

"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

"However this did not include monitoring or identifying risk as there were not adequate risk assessments in place for health and safety or legionella."

Positive

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

Positive

"• Risks to patients were not all assessed and well managed practice specific risk assessments for health and safety and legionella had not been carried out."

Positive

"Areas for improvement Action the service MUST take to improve • Conduct practice specific risk assessments for health and safety and legionella."

Positive

"For example clinical staff identified patients affected by patient safety alerts and determined what actions were necessary to protect them."

Positive

"When there were unintended or unexpected safety incidents patients received reasonable support truthful information a verbal and written apology and were told about any actions to improve processes to prevent the same thing happening again."

Positive

"• When there were unintended or unexpected safety incidents patients received reasonable support a verbal and written apology."

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 which identified local health and safety representatives."

Positive

"The practice did not have practice specific risk assessments in place to monitor the safety of staff and patients within the practice with regards to health and safety 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 knowing about notifiable safety incidents When there were unexpected or unintended safety incidents: • The practice gave affected people reasonable support truthful information and a verbal and written apology • They kept written records of verbal interactions as well as written correspondence."

Positive

"The areas where the provider must make improvement are: • Conduct practice specific risk assessments for health and safety and legionella."

Positive

"They did not have practice specific risk assessments in place for health and safety or legionella."

Neutral

"It covered such topics as safeguarding infection prevention and control fire safety health and safety and confidentiality."

Positive

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

Positive

"They also 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

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

Positive

"The advanced nurse practitioner was the infection control clinical lead who liaised with the local infection prevention teams 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

"Annual infection control audits were undertaken and we saw evidence that action was taken to address any improvements identified as a result."

Positive

"Patients said they felt the practice offered an excellent service a professional atmosphere and staff were helpful caring and treated them with dignity and respect at all times."

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

Positive

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

Positive

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

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 the strategy and good quality care."