Safety

Privacy

Latest Snippet(s)

Positive

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

2017-11-23 Snippet(s)

Positive

"They told us they were satisfied with the care provided by the practice and said their dignity and privacy was respected."

Positive

"They said staff treated them with dignity and their privacy was respected."

Positive

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

2015-04-09 Snippet(s)

Positive

"All told us they were happy with the care provided by the practice and said their dignity and privacy were respected."

Neutral

"Staff and patients told us that all consultations and treatments were carried out in the privacy of a consulting room."

Neutral

"Curtains were provided in consulting rooms and treatment rooms so that patients’ privacy was 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 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

"• The practice had clear systems to manage risk so that safety incidents were less likely to happen."

Neutral

"• The practice was unable to demonstrate that they had adequate health and safety related risk assessments and processes were in place to ensure the safety of the premises and patients."

2018-03-13 Snippet(s)

Positive

"Track record on safety The practice had taken a number of steps to improve the safety of the premises and patients."

Positive

"• The practice had carried out health and safety related risk assessments and checks and remedial actions had been undertaken to ensure safety of the premises and patients."

Positive

"There was a health and safety policy available with a poster in the premises."

Neutral

"• The practice was unable to demonstrate that they had adequate health and safety related risk assessments and processes were in place to ensure safety of the premises and patients."

Neutral

"• Staff had undertaken fire safety and health and safety training."

Neutral

"• The practice was unable to demonstrate that they had adequate health and safety related risk assessments and processes were in place to ensure the safety of the premises and patients."

2017-11-23 Snippet(s)

Positive

"• From the sample of documented examples we reviewed we found there was an effective system for reporting and recording significant events; lessons were shared to make sure action was taken to improve safety in the practice."

Positive

"• The practice had not carried out all risk assessments required to monitor safety of the premises such as control of substances hazardous to health COSHH risk assessment electrical installation condition report and an asbestos survey."

Positive

"• We saw evidence that lessons were shared and action was taken to improve safety in the practice."

Positive

"• The practice had not carried out all related health and safety risk assessments required to monitor safety of the premises such as control of substances hazardous to health COSHH asbestos survey fire safety and electrical installation condition report."

Positive

"• We reviewed safety records incident reports patient safety alerts and minutes of meetings where significant events were discussed."

Positive

"The arrangements for managing medicines including emergency medicines and vaccines in the practice minimised risks to patient safety including obtaining prescribing recording handling storing security and disposal with the exception of management of blank prescription forms."

Positive

"Monitoring risks to patients There were some procedures in place for assessing monitoring and managing risks to patient and staff safety however improvements were required."

Positive

"• The practice was unable to provide documentary evidence to demonstrate that all staff were up to date with fire safety training."

Positive

"For example we found risks relating to management of legionella health and safety related risk assessments safeguarding vulnerable adults and children training basic life support training and management of blank prescription forms for use in printers which had not been monitored appropriately."

Positive

"• The practice had not ensured that all relevant health and safety related risk assessments were carried out in a timely manner."

Positive

"Overview of safety systems and processes The practice had some processes and practices in place to keep patients safe and safeguarded from abuse however improvements were required."

Positive

"• A health and safety policy was not dated and did not carry any information that identified it as pertaining to the practice."

Positive

"There was a health and safety poster displayed in the communal area."

Positive

"However we saw the practice had procedures in place to monitor fire safety at the premises."

Positive

"The practice had systems in place for knowing about notifiable safety incidents."

Neutral

"• The practice was unable to demonstrate that they had adequate health and safety related risk assessments and processes in place to ensure safety of the premises and patients."

Neutral

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

Neutral

"The practice was unable to demonstrate that they had adequate health and safety related risk assessments and processes were in place to ensure safety of the premises and patients."

2015-04-09 Snippet(s)

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

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

Positive

"It had systems to monitor reported incidents national patient safety alerts and complaints received from patients."

Positive

"National patient safety alerts were disseminated electronically to practice staff."

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 had a health and safety lead and policy."

Positive

"Health and safety information was displayed and visible to staff."

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."

2017-11-23 Snippet(s)

Positive

"Overview of safety systems and processes The practice had some processes and practices in place to keep patients safe and safeguarded from abuse however improvements were required."

2015-04-09 Snippet(s)

Positive

"Staff had also received training on recognising abuse in vulnerable adults."

Positive

"Another recent example involved the suspected sexual abuse of a child which the police were investigating and other relevant agencies were aware."

Diet

Signage

Support

Latest Snippet(s)

Positive

"Patients providing positive feedback said they felt the practice offered an excellent service and staff were helpful caring and treated them with dignity and respect."

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 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 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

"This included treating patients with dignity and respect."

Positive

"We issued a warning notice for safe care and treatment as the arrangements in respect of being a safe service were in breach of regulation."

2018-03-13 Snippet(s)

Positive

"We issued a warning notice for safe care and treatment as the arrangements in respect of being a safe service were in breach of regulation."

2017-11-23 Snippet(s)

Positive

"Patients providing positive feedback said they felt the practice offered an excellent service and staff were helpful caring and treated them with dignity and respect."

Positive

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

Positive

"They told us they were satisfied with the care provided by the practice and said their dignity and privacy was respected."

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

"They said staff treated them with dignity and their privacy was respected."

Positive

"This included treating patients with dignity and respect."

Positive

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

2015-04-09 Snippet(s)

Positive

"All told us they were happy with the care provided by the practice and said their dignity and privacy were respected."

Positive

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

Positive

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

Equality

Latest Snippet(s)

Positive

"• The practice actively promoted equality and diversity."

Neutral

"Staff had received equality and diversity training."

2015-04-09 Snippet(s)

Positive

"We were shown the electronic staff handbook that was available to all staff which included sections on equality and harassment and bullying at work."

Positive

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

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."

2017-11-23 Snippet(s)

Positive

"We saw the practice had included necessary information of the complainant’s right to escalate the complaint to the Ombudsman if dissatisfied with the response."

Positive

"None of the patients we spoke with had ever needed to make a complaint about the practice."

2015-04-09 Snippet(s)

Positive

"For example the trainee we spoke with had used the meeting to discuss a complaint from a patient about an entry in their patient notes."

Positive

"None of the patients we spoke with had needed to make a complaint about the practice."

Governance

Latest Snippet(s)

Positive

"Governance arrangements There were clear responsibilities roles and systems of accountability to support good governance and management."

Positive

"• Structures processes and systems to support good governance and management were clearly set out Are services wellled?"

Positive

"The governance and management of partnerships joint working arrangements and shared services promoted interactive and coordinated personcentred care."

Positive

"Specifically we found: • The practice had failed to demonstrate good governance in accordance with the fundamental standards of care."

Positive

"• The practice demonstrated improvement in governance arrangements."

2017-11-23 Snippet(s)

Positive

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

Positive

"However implementation of the governance framework was not robust enough to always provide assurance that safe good quality care was being provided."

Positive

"In particular: The practice had failed to demonstrate good governance in accordance with the fundamental standards of care."

Neutral

"• There was a governance framework."

Neutral

"• The practice held regular governance and staff team meetings."

Neutral

"Governance arrangements The practice had a governance framework."

2015-04-09 Snippet(s)

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

Positive

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

2017-11-23 Snippet(s)

Positive

"There was evidence of quality improvement including clinical audit: • There had been five clinical audits commenced in the last two years two of these were completed audits where the improvements made were implemented and monitored."

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."

Positive

"Improvements were made to the quality of care as a result of complaints and concerns."

2018-03-13 Snippet(s)

Positive

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

2017-11-23 Snippet(s)

Positive

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

2015-04-09 Snippet(s)

Positive

"The results from the practice’s own satisfaction survey showed that patients were positive about the quality of care they received from doctors nurses health care assistants and the reception team."

Positive

"• Patient satisfaction scores were better than local averages for quality of care and in line with local averages for access to appointments."

Positive

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

Control of Infection

2015-04-09 Snippet(s)

Positive

"Risks to patients who used services were assessed and the practice had systems and processes to address risks in relation to infection control medicines management and dealing with emergencies."

Positive

"Cleanliness and infection control The premises were clean and tidy."

Positive

"There were designated leads for specific areas of risk for example there was a lead nurse for infection control and named clinical leads for safeguarding."

Positive

"The practice nurse was the lead for infection prevention and control with the support of one of the GP partners who had oversight of infection control monitoring and reviewed the infection control audits."

Neutral

"Our key findings were as follows: • The practice had effective systems in place to manage risks associated with medicines management staff recruitment infection control child protection and medical emergencies."

Neutral

"All staff received training about infection control specific to their role and received annual updates."

Neutral

"We saw evidence that the practice carried out regular infection control audits and had implemented recommendations made following the most recent external audit of infection control carried out by NHS England."

Neutral

"The practice had an infection control policy."

Neutral

"Personal protective equipment including disposable gloves was available for staff to use and staff were able to describe how they would use these to comply with the practice’s infection control policy."