What is the Quality of Safety at St Martins Medical Centre

Positive

"• Ensure policies and protocols are in place and up to date to assist staff with significant event reporting infection control the secure storage and monitoring of prescriptions repeat prescribing health and safety and referrals."

Positive

"Areas for improvement Action the service MUST take to improve • Ensure risk assessments related to fire safety the testing of electrical equipment and infection control are carried out and action is taken to ensure patients are kept safe."

Positive

"For example complaints about clinical incidents were not investigated as significant events and risks relating to infection control fire safety and testing of electrical equipment were not fully assessed or up to date."

Positive

"Policies or protocols were not in place or were not updated for significant event reporting infection control the secure storage and monitoring of prescriptions repeat prescribing health and safety or referrals."

Positive

"There was an infection control policy in place although this was not dated and contained details of staff who no longer worked at the practice."

Positive

"There was no evidence of historical annual infection control audits."

Positive

"Staff received training that included: safeguarding infection control fire safety information governance and chaperoning."

Neutral

"The areas where the provider must make improvements are: • Ensure risk assessments related to fire safety the testing of electrical equipment and infection control are carried out and action is taken to ensure patients are kept safe."

Positive

"This identified possible risks across the practice and covered topics such as health and safety infection control communication practice protocols and prescribing."

Neutral

"An infection control lead had been appointed two weeks prior to our visit and had received up to date training."

Neutral

"Annual infection control audits had not been carried out."

Positive

"Kindness dignity respect and compassion During our inspection we observed that members of staff were courteous and helpful to patients and treated them with dignity and respect."

Positive

"We issued requirement notices to the provider in respect of safe care and treatment good governance fit and proper persons employed and staffing."

Positive

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

Positive

"Patients said they felt the practice offered a professional service and staff were helpful caring and treated them with dignity and respect."

Positive

"They 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

"Patients said they felt the practice offered a good service and clinical staff were helpful caring and treated them with dignity and respect."

Positive

"Patients said staff always treated them with dignity and respect and they felt supported in making 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

"• Patients were positive about their interactions with staff and said they were treated with compassion and dignity."

Positive

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

Positive

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

Positive

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

Positive

"Improvements were made to the quality of care as a result of complaints and concerns."

Positive

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

Positive

"They 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

"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

"• From the sample of documented examples we reviewed we found there was a system for reporting and recording significant events; lessons were shared to make sure action was taken to improve safety in the practice."

Positive

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

Positive

"Action the service SHOULD take to improve • Review the systems for: checking uncollected blank prescriptions; recording and acting on safety alerts; and the storage of blank prescriptions in consulting rooms."

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

"• The practice had a variety of other risk assessments to monitor safety of the premises such as infection prevention and control and legionella Legionella is a term for a particular bacterium which can contaminate water systems in buildings."

Positive

"Our key findings across all the areas we inspected were as follows: • There was an open and transparent approach to safety and a system in place for reporting and recording significant events."

Positive

"• We reviewed safety records incident reports and minutes of meetings where significant events were discussed."

Positive

"In addition the provider should: • Review the systems for: checking uncollected blank prescriptions; recording and acting on safety alerts; and the storage of blank prescriptions in consulting rooms."

Positive

"• Staff could describe recent safety alerts and we saw evidence that they were acted on."

Positive

"Overview of safety systems and process The practice had systems processes and practices that helped to keep patients safe and safeguarded from abuse."

Positive

"• Staff received training that included: safeguarding fire safety awareness basic life support mental capacity act chaperoning infection prevention and control and information governance."

Neutral

"However there was no formal system to record safety alerts received and their outcomes."

Neutral

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

Positive

"• Ensure policies and protocols are in place and up to date to assist staff with significant event reporting infection control the secure storage and monitoring of prescriptions repeat prescribing health and safety and referrals."

Positive

"• Some risks to patients had been assessed however improvements were required to risks relating to recruitment training health and safety fire safety and infection control."

Positive

"Areas for improvement Action the service MUST take to improve • Ensure risk assessments related to fire safety the testing of electrical equipment and infection control are carried out and action is taken to ensure patients are kept safe."

Positive

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

Positive

"For example complaints about clinical incidents were not investigated as significant events and risks relating to infection control fire safety and testing of electrical equipment were not fully assessed or up to date."

Positive

"Policies or protocols were not in place or were not updated for significant event reporting infection control the secure storage and monitoring of prescriptions repeat prescribing health and safety or referrals."

Positive

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

Positive

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

Positive

"We were told safety alerts were received by the GP partners and cascaded to relevant staff however staff were unable to provide a recent example."

Positive

"This identified possible risks across the practice and covered topics such as health and safety infection control communication practice protocols and prescribing."

Positive

"Fire safety equipment had been checked to ensure it was safe to use."

Positive

"Staff received training that included: safeguarding infection control fire safety information governance and chaperoning."

Neutral

"The areas where the provider must make improvements are: • Ensure risk assessments related to fire safety the testing of electrical equipment and infection control are carried out and action is taken to ensure patients are kept safe."

Neutral

"For example those relating to recruitment training health and safety fire safety and infection control."

Positive

"• Staff interviewed knew how to recognise signs of abuse in children young people and adults whose circumstances may make them vulnerable."

Positive

"• Staff were able to recognise the signs of abuse in older patients and knew how to escalate any concerns."

Positive

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

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."

Positive

"We issued requirement notices to the provider in respect of safe care and treatment good governance fit and proper persons employed and staffing."

Positive

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

Positive

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

Positive

"However there were systemic weaknesses in governance systems relating to infection prevention and control emergency medicines monitoring patients on warfarin uncollected repeat prescriptions and monitoring fridge temperatures."

Positive

"• However there were systemic weaknesses in governance systems."

Positive

"However there were weaknesses in some governance systems."

Positive

"For example diabetes prescribing safeguarding infection prevention and control information governance commissioning and the Quality and Outcomes Framework QOF."

Positive

"Governance arrangements The practice had a governance framework however this did not currently support the delivery of the strategy and good quality care."

Positive

"Staff received training that included: safeguarding infection control fire safety information governance and chaperoning."

Positive

"There was evidence of quality improvement including clinical audit: • There had been two clinical audits commenced in the last two years."