Latest Snippet(s)
Positive
"• The practice had a variety of other risk assessments to monitor safety of the premises such as control of substances hazardous to health and infection control and legionella Legionella is a term for a particular bacterium which can contaminate water systems in buildings."
Positive
"• The practice had implemented clearly defined and embedded systems and processes to minimise risks to patient safety and had an effective process in place for monitoring and actioning safety alerts."
Positive
"• The practice established an effective process for distributing patient safety alerts throughout the practice."
Positive
"This included support training for all staff on communicating with patients about notifiable safety incidents."
Positive
"During the inspection we found the practice was in breach of legal requirements this was because appropriate processes were not in place to mitigate risks in relation to the safety and quality of the services offered."
Positive
"• We found that the practice had reviewed their processes for receiving safety alerts and all alerts were actioned upon receipt and actions taken were recorded and discussed as part of the clinical team meetings which were held every week."
Positive
"Overview of safety systems and processes The practice had clearly defined and embedded systems processes and practices in place to minimise risks to patient safety."
Positive
"• There was a health and safety policy available and regular risk assessments were carried out by NHS Property Services."
Positive
"• Staff received training that included: safeguarding fire safety awareness basic life support and information governance."
Positive
"For example managing and learning from incidents cascading information received and actions taken following receipt of safety alerts processes for managing medicines which required closer monitoring was not effective."
Positive
"For example: • Systems for managing safety incidents were well established and embedded."
Neutral
"Staff we spoke with were able to explain processes in place to minimise risks to patient safety this included systems in place to ensure compliance with alerts received from central alerting system CAS and alerts from the Medicines and Healthcare products Regulatory Agency MHRA."
Neutral
"This covered such topics as safeguarding infection prevention and control fire safety health and safety and confidentiality."
2017-04-06 Snippet(s)
Positive
"The practice had a variety of other risk assessments in place to monitor safety of the premises such as control of substances hazardous to health and infection control and legionella Legionella is a term for a particular bacterium which can contaminate water systems in buildings."
Positive
"• The practice had systems in place for notifiable safety incidents however this information was not always shared across the staff team to ensure appropriate action was taken."
Positive
"Overview of safety systems and processes The practice had some clearly defined and embedded systems processes and practices in place to keep patients safe and safeguarded from abuse which included: • Arrangements were in place to safeguard children and vulnerable adults from abuse."
Positive
"We were told that following alerts action was taken to improve safety in the practice."
Positive
"This included support training for all staff on communicating with patients about notifiable safety incidents."
Positive
"• Put a system in place to demonstrate that following receipt of a safety or medecine alert appropriate action was taken."
Positive
"For example safety alerts were discussed without specific reference to action taken and minutes indicated significant events were not discussed."
Positive
"We reviewed safety records incident reports 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 reception office which identified local health and safety representatives."
Positive
"• The practice did not demonstrate that patient safety alerts were actioned upon receipt for example we looked at an alert for patients prescribed a particular combination of medicines and no search was patient records was evident."
Positive
"For example staff told us safety alerts were printed off by the Practice manager and all staff signed to indicate they had read them."
Positive
"The practice did not demonstrate that patient safety alerts were actioned upon receipt for example we looked at an alert for patients prescribed a particular combination of medicines and no search was patient records was evident."
Positive
"• Staff received training that included: safeguarding fire safety awareness basic life support and information governance."
Positive
"There was no designated system to ensure action following the receipt of safety alerts had taken place."
Neutral
"This covered such topics as safeguarding infection prevention and control fire safety health and safety and confidentiality."
Latest Snippet(s)
Positive
"• The practice had a variety of other risk assessments to monitor safety of the premises such as control of substances hazardous to health and infection control and legionella Legionella is a term for a particular bacterium which can contaminate water systems in buildings."
Neutral
"All staff received regular infection control training."
2017-04-06 Snippet(s)
Positive
"The practice had a variety of other risk assessments in place to monitor safety of the premises such as control of substances hazardous to health and infection control and legionella Legionella is a term for a particular bacterium which can contaminate water systems in buildings."
Positive
"One of the practice nurses was the infection control clinical lead who liaised with the local infection prevention teams to keep up to date with best practice."
Positive
"The lead nurse in infection control had gained a certificate in infection prevention and control and had access to the CCG respiratory nurse lead for updates and advice."
Neutral
"Review and update procedures and guidance such as the infection control procedure."
Neutral
"There was an infection control protocol in place and staff had received up to date training."
Neutral
"Annual infection control audits were undertaken and we saw evidence that action was taken to address any improvements identified as a result."
Latest Snippet(s)
Neutral
"For example: • Patients were signposted to the relevant service advice on their diet smoking and alcohol cessation."
2017-04-06 Snippet(s)
Neutral
"For example: • Patients receiving end of life care carers those at risk of developing a longterm condition and those requiring advice on their diet smoking and alcohol cessation were signposted to the relevant service."
Latest Snippet(s)
Positive
"The mission statement was: “Our aim is to provide excellent care and support for our patients on a daily basis in a clean and safe environment and to treat all patients with dignity and respect”."
2017-04-06 Snippet(s)
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
"• Patients said they were treated with compassion dignity and respect and they were involved in decisions about their care and 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
"They felt they were give dignity and respect and the surgery was clean."
Positive
"Results from the national GP patient survey GPS showed patients felt they were treated with compassion dignity and respect."
Positive
"• We saw staff treated patients with kindness and respect and maintained patient and information confidentiality."
Positive
"• Curtains were provided in consulting rooms to maintain patients’ privacy and dignity during examinations investigations and treatments."
Latest Snippet(s)
Positive
"• We found an overarching governance framework had been implemented to support the delivery of the strategy and good quality care."
Positive
"At our previous inspection we rated the practice as requires improvement for providing well led services as some areas of the practice governance arrangements needed improving."
Positive
"The governance arrangements to assess and monitor the quality of services showed improved outcome with a schedule of regular governance meetings in place."
Positive
"Governance arrangements When we carried out our previous inspection we found the practice had a governance framework in place however some systems and processes were not effective."
Neutral
"• The practice had a number of governance policies and procedures in place which had been reviewed and updated."
2017-04-06 Snippet(s)
Positive
"• The practice had a leadership structure however the practice did not demonstrate that effective governance arrangements to monitor the quality of the service were in place."
Positive
"• Review governance arrangements to ensure oversight of performance and make quality improvements as appropriate."
Positive
"• The practice had a leadership structure however there was insufficient leadership capacity and formal governance arrangements to monitor the quality of the service."
Positive
"Governance arrangements The practice had an informal governance framework which supported the delivery of the service and outlined the structures and procedures in place."
Neutral
"The governance arrangements in place to assess and monitor the quality of services provided was not robust."
Neutral
"The practice did not hold regular governance meetings and issues were discussed on an ad hoc basis."
Latest Snippet(s)
Positive
"• Since the previous inspection the practice had introduced a programme of clinical audits which demonstrated quality improvement and the monitoring patient outcomes."
Latest Snippet(s)
Positive
"• At this inspection we saw a programme of clinical audits had been implemented to monitor patients’ outcomes and improve the quality of care provided."
Positive
"This report describes our judgement of the quality of care at this service."
Positive
"• The provider had set up a schedule of audits to be carried out through the year; this included a review of the quality of care provided in relation to evidence based guidance."
2017-04-06 Snippet(s)
Positive
"This report describes our judgement of the quality of care at this service."
2017-04-06 Snippet(s)
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."
2017-04-06 Snippet(s)
Positive
"• Staff knew how to recognise signs of abuse in vulnerable adults and children."
Positive
"Overview of safety systems and processes The practice had some clearly defined and embedded systems processes and practices in place to keep patients safe and safeguarded from abuse which included: • Arrangements were in place to safeguard children and vulnerable adults from abuse."
2017-04-06 Snippet(s)
Neutral
"For example a health visitor attended the monthly multidisciplinary meetings on a regular basis."
2017-04-06 Snippet(s)
Positive
"There was no evidence of quality monitoring following clinical audit."