Latest Snippet(s)
Positive
"Track record on safety The service had a good safety record."
Positive
"• The service was unable to demonstrate that they had an effective monitoring system to assure themselves that appropriate health and safety checks had been undertaken regularly to maintain fire safety and legionella at the Hillingdon out of hours primary care centre OOH PCC and the Harrow OOH PCC."
Positive
"• On the day of the inspection the staff we spoke with were satisfied with safety and security arrangements at the OOH PCCs."
Positive
"• The service had taken steps to monitor and review the fire safety and the management of legionella at the Hillingdon out of hours primary care centre OOH PCC and the Harrow OOH PCC."
Positive
"Staff we spoke with and written feedback we received raised concerns regarding inappropriate safety and security arrangements at the Harrow OOH PCC and the Hounslow OOH PCC."
Positive
"• The service conducted safety risk assessments."
Positive
"The service had implemented monthly health and safety checks."
Positive
"• There were comprehensive risk assessments in relation to safety issues."
Positive
"We saw the evidence that the service had made regular efforts to access the safety records."
Neutral
"• A risk assessment had been carried out to assess the suitability of the premises at the Harrow OOH PCC and monthly health and safety checks were implemented to ensure continuous monitoring."
Neutral
"• The service informed us that safety and security arrangements were discussed regularly in staff meetings and no concerns had been raised."
Neutral
"The service had carried out health and safety risk assessments and implemented regular safety checks carried out by a dedicated risk and audit manager to ensure fire safety."
Neutral
"This helped it to understand risks and gave a clear accurate and current picture that led to safety improvements."
2018-10-31 Snippet(s)
Positive
"However the provider was unable to provide the evidence of uptodate fire risk assessments and safety checks at the Hillingdon OOH PCC and the Harrow OOH PCC."
Positive
"The provider had excellent processes in place to assure the safety and security of medicines and prescription stationery."
Positive
"• All staff received uptodate safeguarding and safety training appropriate to their role."
Positive
"• The service was unable to demonstrate that they had an effective monitoring system to assure themselves that appropriate health and safety checks had been undertaken regularly to maintain fire safety and legionella at the Hillingdon OOH PCC and the Harrow OOH PCC."
Positive
"Track record on safety Safety issues were well managed in some areas."
Positive
"• There were systems in place to ensure the safety of the out of hours vehicles."
Positive
"• The service learned from external safety events and patient safety alerts."
Positive
"All staff were aware of the policy and understood their role with regards to it including ensuring that patient safety was a priority."
Positive
"The service was unable to demonstrate that they had an effective monitoring system to assure themselves that appropriate health and safety checks had been undertaken regularly to maintain fire safety and legionella at the Hillingdon OOH PCC and the Harrow OOH PCC."
Positive
"• The provider conducted some safety risk assessments."
Positive
"It had safety policies including Control of Substances Hazardous to Health COSHH and Health & Safety policies which were regularly reviewed and communicated to staff."
Positive
"Staff received safety information from the provider as part of their induction and refresher training."
Positive
"On the day of the inspection staff we spoke with and written feedback we received raised concerns regarding inappropriate safety and security arrangements at the Harrow OOH PCC and the Hounslow OOH PCC."
Positive
"• The provider informed us they had requested to access the fire safety and the management of legionella records at the Hillingdon OOH PCC and the Harrow OOH PCC but they were still waiting for the response from the hosts responsible for managing the premises."
Positive
"We reviewed staff training records and saw that staff were up to date with attending courses such as annual basic life support fire safety awareness information governance and safeguarding."
Positive
"• The service had a system in place that alerted staff to any specific safety or clinical needs of a person using the service such as alerts about a person being on the end of life pathway."
Positive
"• The service aimed to focus on the safety and wellbeing of all staff."
Positive
"For example on the day of the inspection staff we spoke with and written feedback we received raised concerns regarding inappropriate safety and security arrangements at the Harrow OOH PCC and the Hounslow OOH PCC."
Positive
"Staff we spoke with and written feedback we received raised concerns regarding inappropriate safety and security arrangements at the Harrow OOH PCC and the Hounslow OOH PCC."
Neutral
"This covered such topics as safeguarding infection prevention and control fire safety health and safety and confidentiality."
Neutral
"For example the service was unable to demonstrate that they had an effective monitoring system to assure themselves that appropriate health and safety checks had been undertaken regularly to assess fire safety and legionella risks at the Hillingdon OOH PCC and the Harrow OOH PCC."
2014-06-20 Snippet(s)
Positive
"There were robust systems in place to help ensure patient safety through learning from incidents."
Positive
"Because of this any risk to patient care and safety was minimised."
Positive
"Our findings Monitoring safety and responding to risk The provider had incident reporting procedures in place for all Serious Adverse Events SAE."
Latest Snippet(s)
Positive
"This report describes our judgement of the quality of care at this service."
2018-10-31 Snippet(s)
Positive
"• An audit plan had been introduced listing audits which were relevant to an out of hours service and which had positively impacted on the quality of care and outcomes for patients."
Positive
"This report describes our judgement of the quality of care at this service."
2014-06-20 Snippet(s)
Positive
"This report describes our judgement of the quality of care at this service."
2018-10-31 Snippet(s)
Positive
"Privacy and dignity The service respected and promoted patients’ privacy and dignity."
2018-10-31 Snippet(s)
Positive
"• There were safeguarding systems in place for both children and adults at risk of harm or abuse as well as palliative care care for the terminally ill and their families patients who accessed the out of hours to the service."
Positive
"Staff took steps to protect patients from abuse neglect harassment discrimination and breaches of their dignity and respect."
2014-06-20 Snippet(s)
Positive
"When we talked to staff about the protection of vulnerable people they were able to tell us about what they would do if the suspected someone was potentially at risk of abuse or harm."
2018-10-31 Snippet(s)
Positive
"Kindness respect and compassion Staff treated patients with kindness respect and compassion."
Positive
"• Patients said they were treated with compassion dignity and respect and they were involved in their care and decisions about their treatment."
Positive
"• Staff were clear on their roles and accountabilities including in respect of safeguarding and infection prevention and control."
Positive
"Patients said they felt the service provided was excellent and staff were helpful caring and treated them with dignity and respect."
Positive
"Privacy and dignity The service respected and promoted patients’ privacy and dignity."
Positive
"Staff took steps to protect patients from abuse neglect harassment discrimination and breaches of their dignity and respect."
2014-06-20 Snippet(s)
Positive
"People we spoke with said staff displayed a kind and caring attitude and we observed patients being treated with respect and kindness whilst their dignity and confidentiality was maintained."
2018-10-31 Snippet(s)
Positive
"• The service actively promoted equality and diversity."
Neutral
"Staff had received equality and diversity training."
2018-10-31 Snippet(s)
Positive
"None of the patients we spoke with during the inspection had ever needed to make a complaint about the OOH service."
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."
2014-06-20 Snippet(s)
Neutral
"Staff knew how to support patients to make a complaint or to raise a concern with managers."
2018-10-31 Snippet(s)
Positive
"• Structures processes and systems to support good governance and management were clearly set out understood and effective."
Positive
"The governance and management of partnerships joint working arrangements and shared services promoted interactive and coordinated personcentred care."
Positive
"We reviewed staff training records and saw that staff were up to date with attending courses such as annual basic life support fire safety awareness information governance and safeguarding."
2018-10-31 Snippet(s)
Positive
"• Quality and sustainability were discussed in relevant meetings where all staff had sufficient access to information."
2018-10-31 Snippet(s)
Positive
"Monitoring care and treatment The service had a comprehensive programme of quality improvement activity and routinely received the effectiveness and appropriateness of the care provided."
2014-06-20 Snippet(s)
Positive
"This included infection control documentation of consultations training and performance against the National Quality Requirements."
Neutral
"There was a designated infection control lead."
Neutral
"We were provided with the infection control policy."
2014-06-20 Snippet(s)
Positive
"The quality of treatment and services is audited internally by monthly quality assurance meetings monthly quality reports to the board and a robust monitoring programme."
2014-06-20 Snippet(s)
Positive
"The quality of treatment and services is audited internally by monthly quality assurance meetings monthly quality reports to the board and a robust monitoring programme."