What is the Quality of Safety at 70 Norwood Road

Positive

"We also spoke with six patients on the day of our inspection and 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 and treatment rooms so 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."

Positive

"The practice had a carried out a fire risk assessment to identify actions required to maintain fire safety fire protection equipment was serviced regularly nominated staff were trained as fire marshals fire alarm checks and fire drills had been practiced regularly."

Positive

"We saw evidence of health and safety risk assessments where identified risks were logged in a risk assessment table."

Positive

"The practice had a fire safety log book and designated members of staff were nominated as fire marshals."

Positive

"The GPs told us clinical audits were often linked to medicines management information safety alerts or as a result of information from the quality and outcomes framework QOF."

Positive

"Learning and improvement from safety incidents The practice had a system in place for reporting recording and monitoring significant events incidents and accidents."

Positive

"Each GP had individual responsibility to access safety alerts that were relevant to the practice and where they needed to take action."

Positive

"However we saw evidence of a clinical audit which was undertaken in response to a safety alert which related to diabetic patients who were prescribed pioglitazone medication which has been associated with a small increased risk of bladder cancer."

Positive

"The practice also had a health and safety policy and we saw evidence of health and safety training as part of staff induction."

Positive

"Equipment used by the practice had undergone regular safety checks."

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

"One of the GP partners was the nominated health and safety representative."

Neutral

"There was no formal process for disseminating national patient safety alerts to practice staff."

Neutral

"Monitoring safety and responding to risk Are services safe?"

Positive

"Staff knew how to recognise signs of abuse in vulnerable adults and children and there was a lead GP for safeguarding."

Positive

"Staff we spoke to were able to describe signs of abuse in older people vulnerable adults and children."

Positive

"Our key findings across all the areas we inspected were as follows: • Systems including incident reporting protocols safeguarding measures and infection control procedures were in place to keep patients safe."

Positive

"Cleanliness and infection control Are services safe?"

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

"One of the GP partners was the lead for infection control for the practice who had undertaken online infection control training to enable them to provide advice on the practice infection control policy."

Neutral

"Staff received induction training about infection control specific to their role and were also provided with online infection control training."

Positive

"• Patients said that staff were welcoming caring and treated them with dignity and respect and the GPs involved them in decisions about their treatment and care."

Positive

"Patientcarer support to cope emotionally with care and treatment The patients we spoke to on the day of our inspection were positive about the emotional support provided by staff at the practice and this was reflected in the CQC comment cards we received."

Positive

"We also spoke with six patients on the day of our inspection and they told us they were satisfied with the care provided by the practice and said their dignity and privacy was respected."

Positive

"Patients told us that staff were caring and treated them with dignity and respect and this was reflected in the CQC comment cards."

Positive

"They said staff treated them with dignity and respect."

Positive

"Curtains were provided in consulting rooms and treatment rooms so that patients’ privacy and dignity was maintained during examinations investigations and treatments."

Positive

"One patient we spoke with felt that the GP showed dignity towards his elderly mother by always engaging and speaking directly to her in consultations as opposed to him who accompanies his mother for her appointments as her carer."

Positive

"We were shown the electronic staff handbook that was available to all staff which included sections on equality and harassment and bullying at work."

Positive

"We saw evidence of equality and diversity being discussed in practice meeting minutes where staff were reminded of the importance respecting each person individually irrespective of their colour race or ethnicity."

Positive

"Tackling inequality and promoting equality Staff told us that the majority of patients registered at the practice were from an Indian subcontinent background and were Punjabi speaking."

Neutral

"The practice had an equality and diversity policy in place and provided staff training through elearning and we saw evidence of training certificates."

Neutral

"We looked at the complaint summary report for the last year and themes identified included recording of messages communication skills and the Are services responsive to people’s needs?"

Positive

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