Safety

Privacy

Latest Snippet(s)

Positive

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

Positive

"• Curtains were provided in consulting rooms to maintain patient’s privacy and dignity during examinations investigations and treatment."

2015-07-30 Snippet(s)

Positive

"Curtains were provided in consulting rooms and treatment rooms so that patients’ privacy and dignity were maintained during examinations investigations and treatments."

Safety

Latest Snippet(s)

Positive

"Track record on safety The practice had a good track record on safety."

Positive

"• Staff were clear on their roles and accountabilities including in respect of safeguarding reporting any issues of concern and infection prevention and control • Practice leaders had established proper policies procedures and activities to ensure safety and assured themselves that they were operating as intended."

Positive

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

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

"• The practice acted on and learned from external safety events as well as patient and medicine safety alerts."

Positive

"Practice leaders had oversight of national and local safety alerts incidents and complaints."

Positive

"• There were comprehensive risk assessments in relation to safety issues."

Positive

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

Neutral

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

2015-07-30 Snippet(s)

Positive

"Learning and improvement from safety incidents Significant events was a standard agenda item discussed at dedicated staff meetings."

Positive

"All staff were fully trained on the system and commented positively about the system’s safety and ease of use."

Positive

"Information about safety was recorded monitored appropriately reviewed and addressed."

Positive

"Monitoring safety and responding to risk The practice had systems processes and policies in place to manage and monitor risks to patients staff and visitors to the practice."

Positive

"They felt that patients should be involved in all decisions about their care and that patient safety was also paramount."

Positive

"This identified actions that needed to be taken to ensure the safety of the water supply to the practice."

Positive

"Health and safety information was displayed for staff to see and there were two identified health and safety representative."

Positive

"For example they reviewed incidents and national patient safety alerts as well as comments and complaints received from patients at weekly staff meetings."

Positive

"The practice had a system in place to implement safety alerts from the Medicines and Healthcare products Regulatory Agency MHRA."

Positive

"Reliable safety systems and processes including safeguarding Staff had access to safeguarding procedures for both children and vulnerable adults."

Positive

"The practice also had a health and safety policy."

Data Protection

Latest Snippet(s)

Neutral

"• Staff were aware of data protection and the need for patient confidentiality."

Abuse

Latest Snippet(s)

Positive

"• Staff took steps including working with other agencies to protect patients from abuse neglect harassment discrimination and breaches of their dignity and respect."

Diet

Visitors

Latest Snippet(s)

Positive

"• The practice met with members of the local health visitor team to discuss any children on the safeguarding register and any children who may be at risk of harm."

2015-07-30 Snippet(s)

Positive

"Regular liaison took place with the health visitor to discuss any children who were at risk of abuse."

Signage

Latest Snippet(s)

Positive

"For example the signage in the practice had been improved."

2015-07-30 Snippet(s)

Positive

"The practice had a “Carers Champion” whose role was to be the point of contact for carers and in respect of sign posting them to organisations that were able to support carers."

Positive

"The practice had a “Carers Champion” whose role involved being the point of contact for carers and in respect of sign posting them to carer’s organisation."

Support

Latest Snippet(s)

Positive

"• Staff involved and treated patients with compassion kindness dignity and respect."

Positive

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

Positive

"• Staff recognised the importance of people’s dignity and respect."

Positive

"• Staff were clear on their roles and accountabilities including in respect of safeguarding reporting any issues of concern and infection prevention and control • Practice leaders had established proper policies procedures and activities to ensure safety and assured themselves that they were operating as intended."

Positive

"• Staff took steps including working with other agencies to protect patients from abuse neglect harassment discrimination and breaches of their dignity and respect."

Positive

"• Curtains were provided in consulting rooms to maintain patient’s privacy and dignity during examinations investigations and treatment."

2015-07-30 Snippet(s)

Positive

"They commented that they were treated with respect and dignity staff were caring supportive and helpful."

Positive

"They commented that they were treated with respect and dignity and that staff were caring supportive and helpful."

Positive

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

Positive

"The practice had a “Carers Champion” whose role was to be the point of contact for carers and in respect of sign posting them to organisations that were able to support carers."

Positive

"The practice had a “Carers Champion” whose role involved being the point of contact for carers and in respect of sign posting them to carer’s organisation."

Positive

"The practice is committed to ensuring that patients and their carer’s are treated with respect and that there is a managed healthcare environment which minimises the risk of infection to patients staff and carers."

Positive

"Curtains were provided in consulting rooms and treatment rooms so that patients’ privacy and dignity were maintained during examinations investigations and treatments."

Equality

Latest Snippet(s)

Positive

"• The practice actively promoted equality and diversity."

Neutral

"Staff had received equality and diversity training."

2015-07-30 Snippet(s)

Positive

"Tackling inequity and promoting equality The building had appropriate access for disabled people and was all on single level and purpose built."

Positive

"We reviewed staff training records and saw that all staff were up to date with training such as: basic life support; fire safety; health and safety; information governance and equality and diversity."

Neutral

"The practice provided equality and diversity training to all staff training records and staff we spoke with confirmed they had received updated training and were aware of the needs of their patients groups."

Neutral

"We reviewed a number of human resource policies and procedures that were available for staff to refer to for example: equality and whistleblowing."

Complaints

Latest Snippet(s)

Positive

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

Positive

"• The complaint policy and procedures were in line with recognised guidance."

Positive

"For example following one complaint the letter sent to patients from the medicines management team has been amended and the website details were updated to show details of the medicines management coordinator as well as the receptionist details."

2015-07-30 Snippet(s)

Positive

"The complaints policy clearly outlined a time framework for when the complaint would be acknowledged and responded to."

Positive

"Information about how to make a complaint was available in the waiting room and in the practice leaflet."

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 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."

2015-07-30 Snippet(s)

Positive

"We reviewed staff training records and saw that all staff were up to date with training such as: basic life support; fire safety; health and safety; information governance and equality and diversity."

Positive

"Regular developmental and governance meetings took place to share information look at what was working well and where any improvements needed to be made."

Positive

"Regular governance meetings took place to share information look at what was working well and where any improvements needed to be made."

Neutral

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

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

"• The practice was actively involved in quality improvement activity."

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."

2015-07-30 Snippet(s)

Positive

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

Control of Infection

2015-07-30 Snippet(s)

Positive

"Cleanliness and infection control We observed the premises to be clean and tidy."

Neutral

"There was an infection control policy in place and staff had received up to date training."

Neutral

"The practice took part in external audits with the local community infection control team and acted on any issues identified."

Neutral

"The practice had recently carried out their own infection control audit."

Neutral

"Staff had specific roles within the practice for example safeguarding and infection control and clinical staff took the lead for different clinical areas for example; diabetes; asthma and sexual health."

Quality of Life

2015-07-30 Snippet(s)

Positive

"This showed the practice was meeting the target threshold across the indicators for example for enhancing quality of life for patients with long term conditions."