Latest Snippet(s)
Positive
"Privacy and dignity The practice respected and promoted patients’ privacy and dignity."
2015-07-09 Snippet(s)
Positive
"Curtains were provided in consulting rooms and treatment rooms to ensure that patients’ privacy and dignity was maintained during examinations investigations and treatments."
Neutral
"Staff and patients told us that all consultations and treatments were carried out in the privacy of a consulting room."
Latest Snippet(s)
Positive
"Track record on safety The practice had a good safety record."
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 and refresher training planned as appropriate to their role."
Positive
"• There was a strong emphasis on the safety and wellbeing of all staff."
Positive
"The practice learned from external safety events as well as patient and medicine safety alerts."
Positive
"• Practice leaders had established proper policies procedures and activities to ensure safety and assured themselves that they were operating as intended."
Positive
"• The practice conducted safety risk assessments."
Positive
"It had a suite of safety policies which were regularly reviewed and communicated to staff."
Positive
"Staff received safety information for the practice as part of their induction and refresher training."
Positive
"• There were comprehensive risk assessments in relation to safety issues."
Positive
"• There was a system for receiving and acting on safety alerts."
Neutral
"At this inspection we found: • The practice had clear systems to manage risk so that safety incidents were less likely to happen."
Neutral
"This helped it to understand risks and gave a clear accurate and current picture that led to safety improvements."
2015-07-09 Snippet(s)
Positive
"Management lead through learning & improvement The practice could not demonstrate that they had robust systems in place to learn from incidents which potentially impacted on the safety and effectiveness of patient care and the welfare of staff."
Positive
"This included for example assessments in fire safety and a control of substances hazardous to health COSHH risk assessment."
Positive
"Action the service SHOULD take to improve • Maintain records of meetings to clearly demonstrate the discussions learning and actions taken to address safety incidents over the long term."
Positive
"Staff told us that they had taken part in fire drills and attended fire safety training."
Positive
"In addition the provider should: • Maintain records of meetings to clearly demonstrate the discussions and actions taken to address safety incidents over the long term."
Positive
"Health and safety information was displayed for staff to see and there was an identified health and safety representative."
Positive
"We reviewed summaries of safety records and incidents."
Positive
"However we found that records were not organised and maintained to demonstrate how they routinely managed safety and risk consistently over the long term."
Positive
"The practice manager told us that national patient safety alerts were disseminated to practice staff."
Positive
"Nursing staff we spoke with could not when asked recall a recent safety incident and records of these meetings was not recorded."
Positive
"Learning and improvement from safety incidents Staff told us that they would raise their concerns with the GPs if they felt patients’ were at risk."
Positive
"Information we looked at identified that one of the practice nurses had not been aware of a significant safety alert related to the prescribing of Simvastatin A medicine used to lower Cholesterol levels and antibiotics."
Positive
"Reliable safety systems and processes including safeguarding The practice had systems to manage and review risks to vulnerable children young people and adults."
Positive
"Monitoring safety and responding to risk The practice carried out annual and monthly checks of the building this included the environment staffing and dealing with emergencies and equipment."
Positive
"The practice also had a health and safety policy."
Positive
"The patient management IT system flagged up relevant medicine safety alerts when the GP prescribed medicines."
Neutral
"For example safety alerts were not disseminated to all relevant staff which resulted in a medicine related significant safety alert being missed by nurses."
Neutral
"We were told that meetings took place to discuss complaints safety and significant events."
Neutral
"We found that the practice manager and dispensers received medicine safety alert emails."
Latest Snippet(s)
Positive
"Staff took steps to protect patients from abuse neglect harassment discrimination and breaches of their dignity and respect."
2015-07-09 Snippet(s)
Positive
"Staff knew how to recognise signs of abuse in vulnerable adults and children."
Positive
"Staff knew how to recognise signs of abuse in older people vulnerable adults and children."
2015-07-09 Snippet(s)
Positive
"Information documented included details of the patient’s mental and physical health lifestyle in relation to their family life environment diet smoking and alcohol and drugs dependency if appropriate."
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
"Privacy and dignity The practice respected and promoted patients’ privacy and dignity."
Positive
"• Staff recognised the importance of patients’ dignity and respect."
Positive
"Staff took steps to protect patients from abuse neglect harassment discrimination and breaches of their dignity and respect."
Positive
"• Implement a systematic approach to patient consent in respect of minor surgical procedures."
Positive
"There was no systematic approach in documenting patient consent in respect of minor surgical procedures."
Positive
"• Staff were clear on their roles and accountabilities including in respect of safeguarding and infection prevention and control."
Positive
"The practice responded to a complaint in respect of delay in a patient being seen for a booked appointment."
Positive
"No other complaints were raised in respect of this event."
2015-07-09 Snippet(s)
Positive
"In discussion with staff it was evident that the team at the practice shared a desire to provide patients with a safe and caring service where people were treated with dignity and respect."
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
"Reception staff told us that treating patient with respect and dignity were important to the practice."
Positive
"We also saw that staff treated patients with kindness and respect and maintained confidentiality."
Positive
"Patients told us that they were consistently treated with dignity and respect by all members of practice staff."
Positive
"They said staff treated them with dignity and respect."
Positive
"Curtains were provided in consulting rooms and treatment rooms to ensure that patients’ privacy and dignity was maintained during examinations investigations and treatments."
Latest Snippet(s)
Positive
"• The practice actively promoted equality and diversity."
Neutral
"Some staff had received equality and diversity training."
2015-07-09 Snippet(s)
Positive
"Tackling inequity and promoting equality The premises and services had been adapted to meet the needs of patient with disabilities."
Neutral
"The practice provided equality and diversity training through elearning."
Latest Snippet(s)
Positive
"• The complaint policy and procedures were in line with recognised guidance."
Positive
"• Information about how to make a complaint or raise concerns was available and it was easy to do."
Positive
"The practice responded to a complaint in respect of delay in a patient being seen for a booked appointment."
2015-07-09 Snippet(s)
Positive
"We saw that information was available to help patients understand the complaints system with details about how to make a complaint within leaflets."
Positive
"None of the patients spoken with had ever needed to make a complaint about the practice."
Positive
"However they told us that they would be comfortable making a complaint and felt confident that they would be listened to and their concerns dealt with fairly."
Latest Snippet(s)
Positive
"• Structures processes and systems to support good governance and management were clearly set out understood and effective."
Positive
"Governance arrangements There were clear responsibilities roles and systems of accountability to support good governance and management."
Positive
"• Consider suitable delegation and document any division of responsibilities and governance processes to enable appropriate continuance."
Positive
"The governance and management of partnerships joint working arrangements and shared services promoted interactive and coordinated personcentred care."
2015-07-09 Snippet(s)
Neutral
"The practice manager and senior GP told us that meetings were held to discuss governance issues such as performance quality and risks and disseminate information to practice staff."
Latest Snippet(s)
Positive
"• Quality and sustainability were discussed in relevant meetings where all staff had sufficient access to information."
Latest Snippet(s)
Positive
"Monitoring care and treatment The practice had a comprehensive programme of quality improvement activity and routinely reviewed the effectiveness and appropriateness of the care provided."
Positive
"• The practice was actively involved in quality improvement activity."
Latest Snippet(s)
Positive
"Good As part of our inspection process we also look at the quality of care for specific population groups."
Positive
"• Clinical audit had a positive impact on quality of care and outcomes for patients."
Positive
"This report describes our judgement of the quality of care at this service."
2015-07-09 Snippet(s)
Positive
"This report describes our judgement of the quality of care at this service."
2015-07-09 Snippet(s)
Neutral
"Patients were reminded that test results could only be released to the person to whom they relate or someone who had been given prior permission in keeping with confidentiality and data protection guidance."
2015-07-09 Snippet(s)
Positive
"Cleanliness and infection control We observed the premises to be visibly clean and tidy."
Positive
"An infection control policy and supporting procedures were available for staff to refer to which enabled them to plan and implement measures to control infection."
Neutral
"Staff were able to describe how they would use these to comply with the practice’s infection control policy."
Neutral
"The nurse told us that she had recently been appointed to this role within the practice and told us that they were not aware that an infection control audit had been carried out."
Neutral
"We were told that this was part of a three yearly cycle of infection control audit and a follow up review was due to take place following our visit."
Neutral
"The practice nurse told us that plans were in place for her to undertake infection control training."
Neutral
"The nurse had liaised with the local infection control nurse in the Clinical Commissioning Group CCG to enable the practice to provide advice on the practice infection control policy and carry out staff training."