Safety

Privacy

Latest Snippet(s)

Positive

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

2015-03-19 Snippet(s)

Positive

"The nurse told us that they were responsible for cleaning their own room and maintained records of equipment cleaned including the cleaning of the privacy curtains around the examination couches."

Positive

"Privacy curtains were available around examination couches so that patient’s privacy and dignity could be maintained during examinations investigations and treatments."

Neutral

"We saw that consultations and treatments were carried out in the privacy of a consulting room and conversations taking place within them could not be overheard by others."

Safety

Latest Snippet(s)

Positive

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

Positive

"• Staff were clear on their roles and accountabilities including in respect of safeguarding and infection prevention and control • Practice leaders had established 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 learned from external safety events as well as patient and medicine safety alerts."

Positive

"• The practice conducted safety risk assessments."

Positive

"It had a suite of safety policies which were regularly reviewed and communicated to staff."

Positive

"Staff received safety information for the practice as part of their induction and refresher training."

Positive

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

Positive

"• There was a system for receiving and acting on safety alerts."

Neutral

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

Neutral

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

2015-03-19 Snippet(s)

Positive

"• The practice should introduce a formal system for managing and recording action taken in response to national patient safety alerts to ensure that those that are relevant to the practice are not missed and acted upon."

Positive

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

Positive

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

Positive

"Learning and improvement from safety incidents The practice had a system in place for reporting recording and monitoring significant events incidents and accidents."

Positive

"Both GPs routinely received national patient safety alerts but did not have a formal system for discussing and recording any action that was taken in response to them."

Positive

"Patient safety alerts are issued when potentially harmful situations are identified and need to be acted on."

Positive

"One GP told us that they met with the practice nurse for clinical meetings where they would raise awareness and discuss any relevant safety alerts."

Positive

"We reviewed safety records and incident reports and minutes of meetings where such issues were discussed for example the management of a complaint."

Positive

"Reliable safety systems and processes including safeguarding The practice had systems to manage and review risks to vulnerable children young people and adults."

Positive

"The practice also had a health and safety policy which staff were able to access."

Abuse

Latest Snippet(s)

Positive

"Staff took steps to protect patients from abuse neglect harassment discrimination and breaches of their dignity and respect."

2015-03-19 Snippet(s)

Positive

"We were given an example by one member of staff of concerns about a patient being followed up which demonstrated to us that the systems in place to safeguard those who were vulnerable to harm or abuse were robust."

Positive

"For example we saw systems for recording domestic abuse and children who were considered below the threshold for a safeguarding referral but where the GP had some concerns about their welfare."

Diet

Visitors

2015-03-19 Snippet(s)

Positive

"For example by coordinating care with other health professionals with whom they could discuss patient needs such as the health visitor clinics."

Neutral

"Child health and immunisations clinics were arranged to coincide with the health visitor clinics."

Signage

Support

Latest Snippet(s)

Positive

"Kindness respect and compassion Staff treated patients with kindness respect and compassion."

Positive

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

Positive

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

Positive

"• Staff recognised the importance of maintaining patients’ dignity and respect."

Positive

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

Positive

"Staff took steps to protect patients from abuse neglect harassment discrimination and breaches of their dignity and respect."

2015-03-19 Snippet(s)

Positive

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

Positive

"The evidence from all these sources showed patients were satisfied with how they were treated and that practice staff treated them with compassion dignity and respect."

Positive

"There was a healthy respect between all team members and staff spoke positively about each other."

Positive

"We also saw that staff treated patients with kindness and respect."

Positive

"They told us they were treated with dignity and respect."

Positive

"Patients told us that they felt listened to and were treated with dignity and respect."

Positive

"Feedback from patients confirmed that they were treated with dignity and respect."

Positive

"Privacy curtains were available around examination couches so that patient’s privacy and dignity could be 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."

2015-03-19 Snippet(s)

Positive

"Tackling inequity and promoting equality The practice had recognised the needs of different groups in the planning of services."

Religion

Latest Snippet(s)

Positive

"The practice’s vision was to provide excellent holistic healthcare in a nondiscriminatory manner to patients irrespective of race religion nationality marital status age sexual orientation disability and colour."

Complaints

Latest Snippet(s)

Positive

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

Positive

"As a consequence of a complaint the practice now offered patients phlebotomy blood taking appointments at the local hospital when the next appointment was not convenient at the practice for the patient."

Positive

"• Information about how to make a complaint or raise concerns was available and it was easy to do."

2015-03-19 Snippet(s)

Positive

"None of the patients we spoke with during our inspection had ever made a complaint about the practice or had needed to."

Governance

Latest Snippet(s)

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."

2015-03-19 Snippet(s)

Neutral

"The practice had a number of policies and procedures to govern activity and regular governance meeting had taken place."

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

"Monitoring care and treatment The practice had a comprehensive programme of quality improvement activity and routinely reviewed the effectiveness and appropriateness of the care provided."

Quality of Care

Latest Snippet(s)

Positive

"Good As part of our inspection process we also look at the quality of care for specific population groups."

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."

2015-03-19 Snippet(s)

Positive

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

Control of Infection

2015-03-19 Snippet(s)

Positive

"An infection control policy and supporting procedures were available for staff to refer to which supported staff to implement infection control measures."

Positive

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

Neutral

"The practice nurse was the lead for infection control at the practice and had undertaken training in this area enabling them to provide advice to other members of staff."

Quality of Service

2015-03-19 Snippet(s)

Positive

"The GPs demonstrated throughout the inspection that they were proactive in their approach to delivering services and improvements in the quality of service provided."