What is the Quality of Safety at Sandford Surgery

Positive

"In particular: • There were no overarching health and safety risk assessments or systems to mitigate risk as far as practically possible within the practice."

Positive

"We rated the practice as requires improvement for providing safe services because: • There were no overarching health and safety risk assessments or systems to mitigate risk as far as practically possible within the practice."

Positive

"• Risk assessment related to health and safety in the practice were not fully effective and did not demonstrate that risk was mitigated when possible."

Positive

"In particular: • Risk assessment related to health and safety in the practice were not fully effective and did not demonstrate that risk was mitigated when possible."

Neutral

"In particular fire safety and safety of gas and electrical installations."

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 and ensured this information was shared with staff to ensure appropriate action was taken."

Positive

"Overview of safety systems and processes The practice had 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

"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

"By talking to staff and reviewing the minutes we saw evidence that lessons were shared and action was taken to improve safety in the practice."

Positive

"The loss of both practice manager levels had meant that the current revision of safety in some areas had been overlooked."

Positive

"This included support training for all staff on communicating with patients about notifiable safety incidents."

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 was in the process of implementing clearly defined and embedded systems processes and practices in order to improve patient safety and safeguards from abuse."

Positive

"• Staff received training that included: safeguarding fire safety awareness basic life support and information governance."

Neutral

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

Positive

"• Staff dealt with patients with kindness and respect and involved them in decisions about their care."

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 decisions about their care and treatment with the clinical staff promoting selfmanagement for the patients with regard to their own choices and wellbeing."

Positive

"• Patients said they were treated with compassion dignity and respect and they were involved in their care and decisions about their treatment."

Positive

"Results from the national GP patient survey 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."

Positive

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

Positive

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

Positive

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

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

"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."

Positive

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

Positive

"Improvements were made to the quality of care as a result of patient feedback and continuous learning."

Positive

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

Positive

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

Positive

"Overview of safety systems and processes The practice had 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

"• Both GP partners have had enhanced training in managing drug and alcohol abuse and have links to the local drug clinic in Wareham with regards to treatment for substance misuse."

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 nurse was the infection control clinical lead who liaised with the local infection prevention teams and clinical commissioning group CCG to keep up to date with best practice."

Positive

"The practice nurse was in the process of updating and implementing the policy together with new checklists audits including a second hand hygiene audit and training in order to improve infection control systems."

Positive

"• However some improvements were required in areas of infection control and water safety."

Neutral

"• The practice did not follow all their procedures and policies on infection control and legionella."

Neutral

"There was an infection control protocol in place."

Positive

"• We saw that information was available to help patients understand the complaints system including a comprehensive leaflet detailing how to make a complaint to the surgery and how to take the complaint further to the ombudsman or the CQC."

Positive

"One final letter did not mention the ability to take the complaint further to the health ombudsman although this information is clearly displayed in the waiting area with leaflets giving detailed information on making a complaint."

Positive

"There was evidence of quality improvement including audits."