Safety

Data Protection

Latest Snippet(s)

Positive

"This was with consent from the provider and in line with all data protection and information governance requirements."

Control of Infection

Latest Snippet(s)

Neutral

"• Areas we identified the provider should make improvements were evidencing completed actions of infection control audits addressing the backlog in summarising patient records and maintaining confidentiality in the patient waiting area."

2020-04-13 Snippet(s)

Positive

"The areas where the provider should make improvements are: • Record the action taken completion date and sign off on infection control audits to evidence any appropriate action has been taken."

2019-08-22 Snippet(s)

Positive

"• The provider could not demonstrate that all staff were up to date with training including: basic life support fire safety infection control sepsis awareness and principles of health and safety."

Neutral

"• The provider had not acted to address the issues identified in the infection control audits."

Diet

Governance

Latest Snippet(s)

Positive

"This was with consent from the provider and in line with all data protection and information governance requirements."

2020-04-13 Snippet(s)

Positive

"The practice was rated inadequate placed into special measures and warning notices in relation to safe care and treatment and good governance were issued."

2019-12-24 Snippet(s)

Positive

"The practice was rated inadequate placed into special measures and warning notices in relation to safe care and treatment and good governance were issued."

2019-08-22 Snippet(s)

Positive

"• Establish effective systems and processes to ensure good governance in accordance with the fundamental standards of care."

Positive

"• There were gaps in the practice’s governance systems and processes and the overall governance arrangements were ineffective."

Positive

"• The provider could not demonstrate effective governance structures and systems."

Quality of Care

Latest Snippet(s)

Positive

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

Positive

"Our findings We based our judgement of the quality of care at this service on a combination of: • what we found when we inspected • information from our ongoing monitoring of data about services and • information from the provider patients the public and other organisations."

2020-04-13 Snippet(s)

Positive

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

Positive

"We based our judgement of the quality of care at this service on a combination of: • what we found when we inspected."

2019-12-24 Snippet(s)

Positive

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

2019-08-22 Snippet(s)

Positive

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

Positive

"We based our judgement of the quality of care at this service on a combination of: • what we found when we inspected • information from our ongoing monitoring of data about services and • information from the provider patients the public and other organisations."

Privacy

2020-04-13 Snippet(s)

Positive

"• The practice respected patients’ privacy and dignity."

Signage

2020-04-13 Snippet(s)

Positive

"The areas where the provider should make improvements are: • Record the action taken completion date and sign off on infection control audits to evidence any appropriate action has been taken."

Support

2020-04-13 Snippet(s)

Positive

"We rated the practice as good in providing caring services because: • Staff treated patients with kindness respect and compassion."

Complaints

2020-04-13 Snippet(s)

Positive

"• Record the response to complaints including detailing of how to escalate the complaint if required."

Safety

2019-08-22 Snippet(s)

Positive

"The registered person had systems or processes in place that operated ineffectively in that they failed to enable the registered person to assess monitor and mitigate the risks relating to health safety and welfare of service users and others who may be at risk."

Positive

"• The provider could not demonstrate that all staff were up to date with training including: basic life support fire safety infection control sepsis awareness and principles of health and safety."

Positive

"• The provider could not demonstrate that the significant event policy was consistently followed or that learning from safety incidents took place."

Positive

"During the factual accuracy period the provider sent us further information relating to safety concerns we raised."

Positive

"We rated the practice as inadequate for providing safe services because: • The management of safety systems was not effective particularly in relation to safeguarding staff training employment checks and health and safety checks."

Positive

"The provider had failed to do all that was reasonably practicable to mitigate risks to the health and safety of service users receiving care and treatment."

Positive

"• The provider had not assessed and monitored the impact on safety resulting from the backlog of work or prioritised the work."

Neutral

"• There was a lack of a systemic approach for ensuring patient safety alerts had been actioned."

Neutral

"How the regulation was not being met: The provider had failed to ensure that assessments of the risk to the health and safety of service users receiving care or treatment had being carried out."

Neutral

"• The provider could not demonstrate effective oversight of safety alerts incidents and complaints."

Abuse

2019-08-22 Snippet(s)

Positive

"• The systems processes and practice that helped to keep patients safe and safeguarded from abuse were insufficient."

Quality Improvement

2019-08-22 Snippet(s)

Positive

"• The provider could not demonstrate any quality improvement activity as the practice."

Positive

"• There was a lack of quality improvement activity."