Safety

Privacy

Latest Snippet(s)

Positive

"Privacy and dignity The service respected and promoted patients’ privacy and dignity."

Safety

Latest Snippet(s)

Positive

"Track record on safety The service had a good safety record."

Positive

"The service learned and shared lessons identified themes and took action to improve safety in the service."

Positive

"• All staff received uptodate safeguarding and safety training appropriate to their role."

Positive

"• There was a strong emphasis on the safety and wellbeing of all staff."

Positive

"At this inspection we found: • The service had good systems to manage risk so that safety incidents were less likely to happen."

Positive

"They had safety policies including Health & Safety policies which were regularly reviewed and communicated to staff."

Positive

"• The service learned from external safety events and patient safety alerts."

Positive

"• Leaders had established proper policies procedures and activities to ensure safety and assured themselves that they were operating as intended."

Positive

"• The provider conducted safety risk assessments."

Positive

"Staff received safety information from the provider 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."

Positive

"• The service had a system in place that alerted staff to any specific safety or clinical needs of a person using the service."

Positive

"We saw minutes of monthly clinical governance meetings which included risk management complaints compliments patient safety and audits."

Neutral

"This helped them to understand risks and gave a clear accurate and current picture that led to safety improvements."

Abuse

Latest Snippet(s)

Positive

"Staff took steps to protect patients from abuse neglect harassment discrimination and breaches of their dignity and respect."

Control of Infection

Latest Snippet(s)

Positive

"• There was an effective system to manage infection prevention and control the operations manager was the infection control lead."

Diet

Signage

Latest Snippet(s)

Neutral

"There were four patients and the results showed that no medications were prescribed during the consultations appropriate sign posting was utilised and no concerns were identified."

Support

Latest Snippet(s)

Positive

"Kindness respect and compassion Staff treated patients with kindness respect and compassion."

Positive

"• Staff involved and treated people with compassion kindness 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."

Equality

Latest Snippet(s)

Positive

"• The service actively promoted equality and diversity."

Neutral

"Staff had received equality and diversity training."

Complaints

Latest Snippet(s)

Positive

"• Information about how to make a complaint or raise concerns was available."

Governance

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 very clear responsibilities roles and systems of accountability to support good governance and management."

Positive

"The governance and management of partnerships joint working arrangements and shared services promoted interactive and coordinated personcentred care."

Positive

"• They were to appoint a dedicated governance manager."

Positive

"The significant event process was included in the provider’s clinical governance framework."

Positive

"We saw examples minutes of where significant events were discussed at clinical governance meetings."

Positive

"We saw minutes of monthly clinical governance meetings which included risk management complaints compliments patient safety and audits."

Neutral

"• The provider issued a monthly clinical governance bulletin for the extended access service."

Sustainability

Latest Snippet(s)

Positive

"• Quality and sustainability were discussed in relevant meetings where all staff had sufficient access to information."

Quality Improvement

Latest 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."

Quality of Care

Latest Snippet(s)

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."