What is the Quality of Safety at Thatcham Health Centre

Neutral

"• The GPs were able to refer to a local service which gave advice on both diet and exercise."

Positive

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

Positive

"• There was an overarching governance framework which supported the delivery of the strategy."

Neutral

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

Positive

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

Positive

"The results showed the practice was performing in line with local and national averages in relation to patient views on quality of care but below national averages in regard to access to the service."

Positive

"They also 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 to maintain patients’ privacy and dignity during examinations investigations and treatments."

Positive

"• There was an effective system in place for reporting and recording significant events • Lessons were shared to make sure action was taken to improve safety in the practice."

Positive

"The practice had systems in place for knowing about notifiable safety incidents and ensured this information was shared with staff to ensure appropriate action was taken • The practice proactively sought feedback from staff and patients which it acted on."

Positive

"Our key findings across all the areas we inspected were as follows: • There was an open and transparent approach to safety and an effective system in place for reporting and recording significant events."

Positive

"Lessons were shared to make sure action was taken to improve safety in the practice."

Positive

"When there were safety incidents patients received reasonable support truthful information a verbal and written apology and were told about any actions to improve processes to prevent the same thing happening again."

Positive

"• When there were safety incidents patients received reasonable support truthful information a verbal and written apology."

Positive

"We reviewed safety records incident reports national patient safety alerts and minutes of meetings where these were discussed."

Positive

"There was a health and safety policy available with a poster in the staff room which identified local health and safety representatives."

Positive

"The practice had systems in place for knowing about notifiable safety incidents When there were safety incidents: • The practice gave affected patients reasonable support truthful information and a verbal and written apology • They kept written records of verbal interactions as well as written correspondence."

Positive

"For example a nurse with a health and safety qualification was practice lead for control of infection and risk management."

Neutral

"It covered such topics as safeguarding infection prevention and control fire safety health and safety and confidentiality."

Positive

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

Positive

"An advanced nurse practitioner was the infection control clinical lead who liaised with the local infection prevention teams to keep up to date with best practice."

Positive

"For example a nurse with a health and safety qualification was practice lead for control of infection and risk management."

Neutral

"We discussed this with the control of infection lead and they said they would contact the contract cleaning company to deal with this on the day of inspection."

Neutral

"There was an infection control protocol in place and staff had received up to date training this was confirmed in the training records we reviewed."

Neutral

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

Positive

"They had signed the practice up to the Sign up to Safety programme."

Neutral

"However three patients we spoke with said the process to sign up for online booking was complicated."

Positive

"Patients said they felt the practice offered an excellent service and staff were helpful caring and treated them 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

"They also told us they were satisfied with the care provided by the practice 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

"• Curtains were provided in consulting rooms to maintain patients’ privacy and dignity during examinations investigations and treatments."

Positive

"One of the nurses was allocated protected time in a quality assurance role to oversee analysis and learning from significant events and audits."

Positive

"The practice demonstrated a commitment to quality improvement processes that sought to improve patient care and outcomes through systematic review of care and the implementation of change."