Safety

Privacy

Latest Snippet(s)

Positive

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

2017-11-27 Snippet(s)

Positive

"Most of the comments provided by patients during our inspection were positive indicating that patients were satisfied with the care provided by the practice and that their dignity and privacy was respected."

Positive

"• Most of the comments provided by patients during our inspection were positive indicating that patients were satisfied with the care provided by the practice and that their dignity and privacy was respected."

Positive

"Patient comments were positive indicating that patients were satisfied with the care provided by the practice and that their dignity and privacy was respected."

Positive

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

Safety

Latest Snippet(s)

Positive

"• Staff were clear on their roles and accountabilities including in respect of safeguarding and infection prevention and control • Overall the practice had established policies procedures and activities to ensure safety and assured themselves that they were operating as intended."

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 and was signed up to receive all national safety alerts such as alerts from the Medicines and Healthcare products Regulatory Agency MHRA."

Positive

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

Positive

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

Positive

"• There were comprehensive risk assessments in relation to safety issues."

Positive

"This included fire safety and infection prevention and control."

Positive

"Staff were able to demonstrate that they had taken necessary action in response to specific safety alerts."

Neutral

"The practice was not signed up to receive all national safety alerts and unable to demonstrate that they had taken necessary action in response to specific safety alerts."

2017-11-27 Snippet(s)

Positive

"However during our inspection we found that the practice was not signed up to receive all national safety alerts and therefore the practice was not able to demonstrate that they had taken necessary action in response to specific safety alerts."

Positive

"Overview of safety systems and processes • Safety and medicines alerts were disseminated by practice manager."

Positive

"• There was a health and safety policy in place and the practice had a range of formal risk assessments in place to demonstrate how they managed and monitored risk associated with the overall health and safety of the premises."

Positive

"However gaps in the practices system for managing safety alerts highlighted that sometimes the practice had not followed guidelines for safe medicines monitoring and prescribing; such as guidelines from the Medicines and Healthcare products Regulatory Agency MHRA."

Positive

"This was reflected across systems for managing national safety alerts systems for monitoring prescription stationery and for managing uncollected prescriptions."

Positive

"We saw that risk was formally assessed across areas such as health safety and infection control."

Neutral

"However during our inspection we found that the practice was not signed up to receive all national safety alerts and as a result the practice was unable to demonstrate that they had taken necessary action in response to specific safety alerts."

Abuse

Latest Snippet(s)

Positive

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

Diet

2017-11-27 Snippet(s)

Neutral

"This included patients requiring advice on their diet smoking and alcohol cessation."

Signage

Support

Latest Snippet(s)

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

"• Staff were clear on their roles and accountabilities including in respect of safeguarding and infection prevention and control • Overall the practice had established policies procedures and activities to ensure safety and assured themselves that they were operating as intended."

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."

2017-11-27 Snippet(s)

Positive

"Most of the comments provided by patients during our inspection were positive indicating that patients were satisfied with the care provided by the practice and that their dignity and privacy was respected."

Positive

"• Most of the comments provided by patients during our inspection were positive indicating that patients were satisfied with the care provided by the practice and that their dignity and privacy was respected."

Positive

"Patient comments were positive indicating that patients were satisfied with the care provided by the practice and that their dignity and privacy was respected."

Positive

"• We saw that staff were courteous and helpful to patients both attending at the reception desk and on the telephone and that people were treated with dignity and respect."

Positive

"• We saw that members of staff were courteous and helpful to patients both attending at the reception desk and on the telephone and that people were treated with dignity and respect."

Positive

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

Equality

Latest Snippet(s)

Positive

"• The practice actively promoted equality and diversity."

Complaints

Latest Snippet(s)

Positive

"For example following a complaint about a delay in a report for a patient."

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."

Governance

Latest Snippet(s)

Positive

"• Systems and processes had been developed to support good governance and effective management."

Positive

"Governance arrangements There were clear responsibilities roles and systems of accountability to support good governance and management."

Positive

"The practice manager is the registered provider manager at the practice and responsible for the overall leadership and governance at the practice."

Neutral

"The practice manager who was also the provider had overall responsibility and oversight of the governance arrangements within the practice."

2017-11-27 Snippet(s)

Positive

"• Establish effective systems and processes to ensure good governance in accordance with the fundamental standards of care Action the service SHOULD take to improve • Continue to explore ways to improve satisfaction rates with regards to access."

Positive

"• Establish effective systems and processes to ensure good governance in accordance with the fundamental standards of care."

Positive

"However in other areas governance arrangements were not always effective and overall we found that systems were disjointed with a lack of clinical oversight at the practice."

Quality Improvement

Latest Snippet(s)

Positive

"Monitoring care and treatment The practice had a programme of quality improvement activity and reviewed the effectiveness and appropriateness of the care provided."

Quality of Care

Latest Snippet(s)

Positive

"• Clinical audit had a positive impact on quality of care and outcomes for patients."

Positive

"• The practice used information technology systems to monitor and improve the quality of care for example implementing a new telephone system."

Positive

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

2017-11-27 Snippet(s)

Positive

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

Control of Infection

2017-11-27 Snippet(s)

Positive

"Governance arrangements Staff had defined roles and there were lead roles across a number of areas such as safeguarding infection control and fire safety."

Positive

"Minutes of meetings were kept and we saw that topics such as significant events training and infection control were discussed during these meetings."

Neutral

"The practice nurse was the infection control lead and the practice manager was the deputy lead for infection control."

Neutral

"• The practice nurse was the infection control lead and the practice manager was the deputy lead for infection control."

Neutral

"• Staff had received infection control training and the training was also incorporated in to the induction programme for new staff members."

Neutral

"There was an infection prevention control protocol in place and we saw records of completed infection control audits."

Quality of Life

2017-11-27 Snippet(s)

Positive

"The practice manager explained that they had utilised a social prescribing service in the past and that this worked well as it helped to support patients based on their individual needs including community care and improvements to their quality of life and overall wellbeing."