Safety

Safety

Latest Snippet(s)

Positive

"• Information was routinely shared with out of hours and ambulance services to help improve patient care and safety for those most at risk."

Positive

"Lessons learnt from events were not recorded or shared with all relevant staff to improve patient safety and minimise further incidents."

Positive

"Previously we found: • We found staff appraisals were not fully completed and staff training was not up to date for fire safety infection control information governance and safeguarding vulnerable adults."

Positive

"• Ensure that all staff have completed relevant training as required by the practice for basic life support fire safety infection control information governance and safeguarding vulnerable adults and ensure evidence of this is recorded."

Positive

"• Staff had completed relevant training as required by the practice for basic life support fire safety infection control information governance and safeguarding vulnerable adults and we saw training certificates to evidence this."

Positive

"At this inspection we found: • Staff had completed relevant training as required by the practice for basic life support fire safety infection control information governance and safeguarding vulnerable adults and we saw training certificates to evidence this."

Positive

"Overview of safety systems and processes At our previous inspection we found that staff who acted as chaperones had received training for the role but not all had received a Disclosure and Barring Service check DBS."

Positive

"For example staff required updating in basic life support safeguarding vulnerable adults fire safety information governance and infection control."

Positive

"We reviewed the training matrix and four staff files and found that staff had completed training in basic life support safeguarding vulnerable adults fire safety information governance and infection control."

2016-02-18 Snippet(s)

Positive

"• Information was not routinely shared with out of hours and ambulance services to help improve patient care and safety for those most at risk."

Positive

"However lessons learnt from events were not recorded or shared with all relevant staff to improve patient safety and minimise further incidents."

Positive

"Overview of safety systems and processes Systems were generally in place to keep patients safe although some aspects required strengthening."

Positive

"• We found gaps in staff appraisals and training was not up to date for information governance fire safety infection control or safeguarding vulnerable adults."

Positive

"Monitoring risks to patients There were some procedures and systems in place for monitoring and managing safety risks to patients staff and visitors."

Positive

"The practice could not demonstrate to us they had managed safety incidents consistently over time or evidence a safe track record."

Positive

"For example the dissemination of safety alerts to all relevant staff and the learning from significant events needed to be reviewed."

Positive

"For example Disclosure and Barring Service checks for staff working as chaperones health and safety checks and completing regular fire drills."

Positive

"• Ensure that all staff have completed relevant training as required by the practice for basic life support fire safety infection control information governance and safeguarding vulnerable adults and ensure evidence of this is recorded."

Positive

"• Review and implement systems for assessing and monitoring health and safety risks including those assessments carried out by the building owner NHS Property Services."

Positive

"For example legionella assessments health and safety and regular fire drills."

Positive

"Although the business manager had requested the information from the landlord NHS Property Services at the time of the inspection records were not available to show that essential health and safety checks had been carried out at the required intervals."

Positive

"We did not see evidence of any further risk assessments in place to monitor safety of the premises with the exception of infection control audits."

Positive

"This included assessments for health and safety or the practising of fire drills."

Positive

"For example basic life support safeguarding vulnerable adults fire safety information governance and infection control."

Abuse

Latest Snippet(s)

Positive

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

2016-02-18 Snippet(s)

Positive

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

Control of Infection

Latest Snippet(s)

Positive

"Previously we found: • We found staff appraisals were not fully completed and staff training was not up to date for fire safety infection control information governance and safeguarding vulnerable adults."

Positive

"• Ensure that all staff have completed relevant training as required by the practice for basic life support fire safety infection control information governance and safeguarding vulnerable adults and ensure evidence of this is recorded."

Positive

"• Staff had completed relevant training as required by the practice for basic life support fire safety infection control information governance and safeguarding vulnerable adults and we saw training certificates to evidence this."

Positive

"At this inspection we found: • Staff had completed relevant training as required by the practice for basic life support fire safety infection control information governance and safeguarding vulnerable adults and we saw training certificates to evidence this."

2016-02-18 Snippet(s)

Positive

"• We found gaps in staff appraisals and training was not up to date for information governance fire safety infection control or safeguarding vulnerable adults."

Positive

"For example training in safeguarding vulnerable adults information governance and infection control the tracking and recording of blank prescription pad numbers and DBS checks of staff performing chaperone duties."

Positive

"• Ensure that all staff have completed relevant training as required by the practice for basic life support fire safety infection control information governance and safeguarding vulnerable adults and ensure evidence of this is recorded."

Positive

"They told us that they themselves cleaned treatment rooms to ensure a high standard of infection control and had produced cleaning plans for members of staff to follow."

Positive

"We did not see evidence of any further risk assessments in place to monitor safety of the premises with the exception of infection control audits."

Neutral

"• A practice nurse was the infection control clinical lead."

Neutral

"There was an infection control protocol in place."

Neutral

"Annual infection control audits were undertaken and we saw evidence that action was taken to address any improvements identified as a result."

Neutral

"However not all nonclinical staff had received infection control training."

Diet

Signage

Latest Snippet(s)

Positive

"We also saw advertised a sign language service for those patients who had a hearing impairment and the practice provided an auditory loop in the practice."

2016-02-18 Snippet(s)

Positive

"We also saw advertised a sign language service for those patients who had a hearing impairment and the practice provided an auditory loop in the practice."

Positive

"The practice had a hearing loop and could offer a sign language service for those patients who had a hearing impairment."

Complaints

2016-02-18 Snippet(s)

Positive

"None of the patients we spoke with had ever needed to make a complaint about the practice."

Governance

Latest Snippet(s)

Positive

"Previously we found: • We found staff appraisals were not fully completed and staff training was not up to date for fire safety infection control information governance and safeguarding vulnerable adults."

Positive

"• Ensure that all staff have completed relevant training as required by the practice for basic life support fire safety infection control information governance and safeguarding vulnerable adults and ensure evidence of this is recorded."

Positive

"• Staff had completed relevant training as required by the practice for basic life support fire safety infection control information governance and safeguarding vulnerable adults and we saw training certificates to evidence this."

Positive

"At this inspection we found: • Staff had completed relevant training as required by the practice for basic life support fire safety infection control information governance and safeguarding vulnerable adults and we saw training certificates to evidence this."

Positive

"For example staff required updating in basic life support safeguarding vulnerable adults fire safety information governance and infection control."

Positive

"We reviewed the training matrix and four staff files and found that staff had completed training in basic life support safeguarding vulnerable adults fire safety information governance and infection control."

2016-02-18 Snippet(s)

Positive

"• There was an overarching governance framework which supported the delivery of the strategy and good quality care."

Positive

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

Positive

"• We found gaps in staff appraisals and training was not up to date for information governance fire safety infection control or safeguarding vulnerable adults."

Positive

"For example training in safeguarding vulnerable adults information governance and infection control the tracking and recording of blank prescription pad numbers and DBS checks of staff performing chaperone duties."

Positive

"• Ensure that all staff have completed relevant training as required by the practice for basic life support fire safety infection control information governance and safeguarding vulnerable adults and ensure evidence of this is recorded."

Positive

"For example basic life support safeguarding vulnerable adults fire safety information governance and infection control."

Neutral

"The practice had a number of policies and procedures to govern activity and held regular governance meetings."

Quality of Care

Latest Snippet(s)

Positive

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

2016-02-18 Snippet(s)

Positive

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

Privacy

2016-02-18 Snippet(s)

Positive

"All told us they were satisfied with the care provided by the GPs and nurse 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."

Support

2016-02-18 Snippet(s)

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

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

Positive

"All told us they were satisfied with the care provided by the GPs and nurse and said their dignity and privacy was respected."

Positive

"Results from the national GP patient survey showed patients felt they were treated with compassion dignity and respect."

Positive

"• We also 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."

Quality Improvement

2016-02-18 Snippet(s)

Positive

"Clinical audits were carried out to demonstrate quality improvement and all relevant staff were involved to improve care and treatment and patients outcomes."