Latest Snippet(s)
Positive
"Overview of safety systems and process • A lone worker risk assessment had been completed in regards to the early morning and evening clinics held."
Positive
"The assessment showed that appropriate safety measures were in place to mitigate risks to the staff on duty."
Positive
"For example the records did not always show that all required actions had been completed following safety incidents and alerts."
2016-12-22 Snippet(s)
Positive
"Monitoring risks to patients and staff • A practice health and safety policy was available and the practice fulfilled their legal duty to display the Health and Safety Executive’s approved law poster in a prominent position."
Positive
"Overview of safety systems and processes The practice had systems and procedures in place to keep people safe and safeguarded from abuse which included: • Arrangements were in place to safeguard children and vulnerable adults from abuse that reflected relevant legislation and local guidance."
Positive
"Learning was applied from incidents to improve safety in the practice."
Positive
"The practice had a process to review all safety alerts received including those from the Medicines Health and Regulatory Authority MHRA."
Positive
"• Staff received regular training that included safeguarding fire safety awareness and basic life support."
Latest Snippet(s)
Positive
"An action slip and sign off sheet recording the date a search was undertaken and actions completed was attached to each alert."
Neutral
"Their completed induction plan provided evidence that all listed topics had been covered with sign off from the employer and employee."
2016-12-22 Snippet(s)
Positive
"We reviewed examples of induction checklists but the process required strengthening to provide evidence that all necessary topics had been covered with sign off from the employer and employee."
Positive
"Outcomes were shared with GPs who would then sign this off as completed."
Latest Snippet(s)
Positive
"Governance arrangements The governance arrangements had been strengthened in the following areas to ensure the delivery of high quality care: • Policies relating to the management of significant events and MHRA alerts had been updated to ensure these detailed the procedures followed at the practice."
Positive
"We also checked various records; this involved reviewing evidence that: • The governance systems had been strengthened to ensure the delivery of high quality care."
Positive
"• The practice had strengthened the governance arrangements for overseeingthe quality of care and to mitigate risks including staff recruitment significant events and Medicines and Healthcare products Regulatory Agency MHRA alerts."
Positive
"• The practice had strengthened the governance arrangements for overseeing the quality of care and to mitigate risks."
2016-12-22 Snippet(s)
Positive
"• Evidence we gathered did not demonstrate that the governance systems in place enabled the provider to effectively assess and monitor the quality of the service."
Positive
"However there were some areas where the practice governance arrangements required strengthening."
Latest Snippet(s)
Positive
"This inspection was carried out to review the actions taken by the practice to improve the quality of care and to confirm that the practice was now meeting the legal requirements."
Positive
"• The practice had strengthened the governance arrangements for overseeingthe quality of care and to mitigate risks including staff recruitment significant events and Medicines and Healthcare products Regulatory Agency MHRA alerts."
Positive
"This report describes our judgement of the quality of care at this service."
Positive
"• The practice had strengthened the governance arrangements for overseeing the quality of care and to mitigate risks."
2016-12-22 Snippet(s)
Positive
"This report describes our judgement of the quality of care at this service."
Neutral
"Information about how to complain was available and improvements were made to the quality of care as a result of any complaints received."
2016-12-22 Snippet(s)
Positive
"Four cards included reference to minor difficulties experienced which included the availability of prebookable appointments access to the practice nurse incomplete prescriptions and a lack of privacy at the reception desk."
Positive
"Curtains were provided in consulting rooms to maintain patients’ privacy and dignity during examinations and treatments."
2016-12-22 Snippet(s)
Positive
"Overview of safety systems and processes The practice had systems and procedures in place to keep people safe and safeguarded from abuse which included: • Arrangements were in place to safeguard children and vulnerable adults from abuse that reflected relevant legislation and local guidance."
Positive
"• The practice had systems in place to ensure they safeguarded vulnerable children from abuse and staff had received child safeguarding training at the appropriate level."
2016-12-22 Snippet(s)
Neutral
"The practice nurse was the appointed infection control lead and the nurse had recently completed two days of shadowing the infection control nurse at the local hospital to update their knowledge."
Neutral
"Practice staff received some information on infection control as part of new staff inductions and online training was available."
2016-12-22 Snippet(s)
Positive
"A health visitor told us that the practice shared information and concerns appropriately and was responsive to any concerns or issues raised by their team."
Positive
"There was effective liaison with the health visitor to ensure that vulnerable children were kept safe."
Positive
"The health visitor attended the practice’s multidisciplinary team meeting once a month to review and discuss any child safeguarding concerns and effective communication took place inbetween meetings."
Neutral
"In addition we spoke with a midwife a health visitor and a member of the CCG’s medicines management team regarding their experience of working with the practice team."
Neutral
"• The health visitor attended the practice’s multidisciplinary meeting on a monthly basis to discuss any child safeguarding concerns."
2016-12-22 Snippet(s)
Positive
"• Patients told us they were treated with compassion dignity and respect and said they were involved in their care and decisions about their treatment."
Positive
"There was a strong culture of staff working together and caring for each other with mutual respect and support."
Positive
"Throughout our inspection we observed that members of staff were courteous and helpful to patients and treated them with dignity and respect."
Positive
"Feedback received via comment cards and from patients we spoke with on the day told us that patients consistently felt that they were treated with compassion dignity and respect by clinicians and the reception team."
Positive
"• Patients we spoke with during the inspection and feedback received on our comments cards indicated that they felt treated with compassion and dignity and were given sufficient time during consultations."
Positive
"• We observed that staff treated patients respectfully and with kindness during our inspection."
Positive
"Curtains were provided in consulting rooms to maintain patients’ privacy and dignity during examinations and treatments."
2016-12-22 Snippet(s)
Positive
"Lessons were learnt and shared with the team following a complaint and action was taken to as a result to improve the quality of care."
Positive
"For example a complaint was made regarding the proposed withdrawal of home visits to review a patient’s longterm condition."
Positive
"Information about how to make a complaint was available for patients."
Positive
"The practice sent two response letters regarding the outcome of clinical complaint investigations one from the practice manager and one from the clinician."
2016-12-22 Snippet(s)
Positive
"There was evidence of quality improvement including a programme of clinical audit."