Latest Snippet(s)
Positive
"• From the sample of documented examples we reviewed we found there was an effective system for reporting and recording significant events; lessons were shared to make sure action was taken to improve safety in the practice."
Positive
"• The practice had a variety of other risk assessments to monitor safety of the premises such as control of substances hazardous to health and infection control and legionella Legionella is a term for a particular bacterium which can contaminate water systems in buildings."
Positive
"The arrangements for managing medicines including emergency medicines and vaccines in the practice minimised risks to patient safety including obtaining prescribing recording handling storing security and disposal."
Positive
"• There was a health and safety policy available and the appropriate poster was displayed in the practice."
Positive
"• We reviewed safety records incident reports patient safety alerts and minutes of meetings."
Positive
"• Effective systems were in place for identifying and assessing the risks to the health and safety of patients and staff."
Positive
"• Assessed monitored and mitigated the risks to the health and safety of service users in respect of the proper and safe management of prescriptions; infection prevention and control and health and safety risk assessments."
Positive
"Overview of safety systems and process The practice had clearly defined and embedded systems processes and practices in place to minimise risks to patient safety."
Positive
"• Most arrangements for assessing monitoring and managing risks to patient and staff safety had improved."
Neutral
"This covered such topics as safeguarding infection prevention and control fire safety health and safety and confidentiality."
Neutral
"A central log of safety alerts had been maintained and searches completed to identify any potential patients that may be affected."
2017-04-20 Snippet(s)
Positive
"• They had effective and sustainable governance systems and processes in place to assess monitor and improve the quality and safety of the services provided including appropriate safeguarding policies and procedures."
Positive
"The fire safety policy in place referred to a fire safety logbook to record fire alarm tests; however this was not in place."
Positive
"The governance framework in place did not ensure that the practice was meeting its responsibilities for ensuring the safety of its patients and this included significant event analysis the lack of role appropriate training for staff such as basic life support and safeguarding and adequate fire safety precautions."
Positive
"The practice had a lift installed but the fire safety policy did not provide additional information on accessibility and means of escape for persons with mobility problems located upstairs."
Positive
"We were not assured that the risk assessments in place to monitor safety of the premises such as control of substances hazardous to health and infection prevention and control had been carried out."
Positive
"The governance framework in place did not ensure that the practice was meeting its responsibilities for ensuring the safety of its patients and this included significant event analysis the lack of appropriate training for staff such as basic life support and safeguarding."
Positive
"• The procedures for monitoring and managing risks to patient and staff safety were not effective."
Positive
"Overview of safety systems and processes The practice systems processes and practices in place to keep patients safe and safeguarded from abuse were not effective."
Positive
"• The procedures in place for monitoring and managing risks to patient and staff safety were not effective."
Positive
"We reviewed safety records incident reports patient safety alerts and minutes of meetings."
Positive
"We also found the practice did not maintain a fire safety logbook despite this being a part of their fire safety policy."
Positive
"For example when we reviewed a significant event concerning a notifiable safety incident there was no supporting evidence that they had followed their obligations under the duty of candour."
Positive
"• Assess monitor and mitigate the risks to the health and safety of service users in respect of the proper and safe management of prescriptions; infection prevention and control and health and safety risk assessments."
Positive
"We also found that this notifiable safety incident had not been recorded under the duty of candour."
Positive
"There was a health and safety policy available but there was no poster identifying local health and safety representatives in the reception office."
Positive
"Staff had not received fire safety training."
Positive
"For example the health and safety annual checklist provided by the practice showed a COSHH assessment had not been undertaken; however this contradicted the practice’s own infection control checklist carried out the day before the inspection which indicated that a COSHH assessment was available."
Positive
"The induction checklist highlighted formal health and safety training as part of the induction training but we found that staff had not received this training."
Positive
"Staff had also not received fire safety infection control and prevention training as part of their induction."
Neutral
"The practice was not meeting its responsibilities in ensuring the safety of its patients and this included significant event analysis prescription management risk assessment fire safety and infection prevention and control."
Neutral
"There was no evidence from the practice and clinical meeting minutes provided to show that they discussed patient safety alerts or significant events; therefore we were unable to establish how lessons learnt were shared with staff."
Neutral
"• The fire safety procedures in place were not implemented well enough to keep patients safe."
Neutral
"• Not all staff had completed mandatory training including annual basic life support fire safety safeguarding and infection prevention and control."
Latest Snippet(s)
Positive
"• The practice had a variety of other risk assessments to monitor safety of the premises such as control of substances hazardous to health and infection control and legionella Legionella is a term for a particular bacterium which can contaminate water systems in buildings."
Positive
"For example the lead GP was the lead for safeguarding and assisted with infection control and the practice manager was the lead for complaints handling."
2017-04-20 Snippet(s)
Positive
"The practice did not undertake comprehensive infection control audits but we were shown an infection control checklist which they had recently completed."
Positive
"For example the health and safety annual checklist provided by the practice showed a COSHH assessment had not been undertaken; however this contradicted the practice’s own infection control checklist carried out the day before the inspection which indicated that a COSHH assessment was available."
Positive
"Staff had also not received fire safety infection control and prevention training as part of their induction."
Neutral
"• The practice had not undertaken any infection control audits although they had recently completed an infection control checklist."
Neutral
"The practice nurse was the infection control clinical lead."
Neutral
"There was an infection control protocol in place and two of the clinical staff had received up to date training."
Latest Snippet(s)
Neutral
"For example: • Patients receiving end of life care carers those at risk of developing a longterm condition and those requiring advice on their diet smoking and alcohol cessation."
2017-04-20 Snippet(s)
Neutral
"For example: • Patients receiving end of life care carers those at risk of developing a longterm condition and those requiring advice on their diet smoking and alcohol cessation."
Latest Snippet(s)
Positive
"Our key findings were as follows: • Patients said they were treated with kindness dignity and respect and they were involved in their care and decisions about their treatment."
Positive
"The practice also encouraged its patients to attend national screening programmes for bowel and breast cancer and in this respect uptake rates were comparable with the CCG and national averages: Are services effective?"
Positive
"• Assessed monitored and mitigated the risks to the health and safety of service users in respect of the proper and safe management of prescriptions; infection prevention and control and health and safety risk assessments."
2017-04-20 Snippet(s)
Positive
"Patients said they felt the practice offered an excellent service and staff were helpful caring and treated them with dignity and respect."
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
"• Assess monitor and mitigate the risks to the health and safety of service users in respect of the proper and safe management of prescriptions; infection prevention and control and health and safety risk assessments."
2017-04-20 Snippet(s)
Positive
"This was after a complaint had been raised regarding the correct vaccination period."
Latest Snippet(s)
Neutral
"Governance arrangements Following our previous inspection there had been improvements in the governance processes within the practice."
2017-04-20 Snippet(s)
Positive
"• They had effective and sustainable governance systems and processes in place to assess monitor and improve the quality and safety of the services provided including appropriate safeguarding policies and procedures."
Positive
"The governance framework in place did not ensure that the practice was meeting its responsibilities for ensuring the safety of its patients and this included significant event analysis the lack of role appropriate training for staff such as basic life support and safeguarding and adequate fire safety precautions."
Positive
"The governance framework in place did not ensure that the practice was meeting its responsibilities for ensuring the safety of its patients and this included significant event analysis the lack of appropriate training for staff such as basic life support and safeguarding."
Neutral
"• The practice did not hold regular governance or team meetings."
Latest Snippet(s)
Positive
"• Clinical audits demonstrated quality improvement in patient outcomes."
2017-04-20 Snippet(s)
Positive
"There was evidence of quality improvement including clinical audit."
Latest Snippet(s)
Positive
"This inspection was carried out to review in detail the actions taken by the practice to improve the quality of care and to confirm that the practice was now meeting legal requirements."
Positive
"This report describes our judgement of the quality of care at this service."
Neutral
"• Information about services and how to complain was available and improvements had been made to the quality of care and access to services as a result of complaints and concerns being analysed."
2017-04-20 Snippet(s)
Positive
"This report describes our judgement of the quality of care at this service."
2017-04-20 Snippet(s)
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."
2017-04-20 Snippet(s)
Positive
"• Arrangements in place to safeguard children and vulnerable adults from abuse were not effective."
Positive
"Overview of safety systems and processes The practice systems processes and practices in place to keep patients safe and safeguarded from abuse were not effective."