What is the Quality of Safety at Central Surgery

Positive

"The area where the practice must make improvement is: • Establish effective systems and processes to ensure good governance in accordance with the fundamental standards of care The areas where the practice should make improvements are: • Monitor the impact of staff training to improve the communication of reception staff."

Positive

"The areas where the provider must make improvements are: • Establish effective systems and processes to ensure good governance in accordance with the fundamental standards of care."

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."

Positive

"It was evident that the governance systems were being systematically reviewed and improved."

Positive

"There was a lack of governance and leadership in place."

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

"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."

Positive

"This was because: • Systems to assess monitor and mitigate risks relating to the health safety and welfare of the service user were not sufficient."

Positive

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

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

"• Practice leaders had established proper policies procedures and activities to ensure safety and assured themselves that they were operating as intended."

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."

Positive

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

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

"• Patients we spoke with at both the main and branch surgery told us that they were treated with dignity and respect and that staff were compassionate."

Positive

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

Positive

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

Positive

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

Positive

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

Positive

"These leaflets explained clearly types of abuse signs and what to do if there were any concerns."

Positive

"Safety systems and processes The practice had systems to keep patients safe and safeguarded from abuse however the processes related to the retention of recruitment checks required strengthening."

Positive

"• The practice actively promoted equality and diversity."

Neutral

"Staff had received equality and diversity training."

Positive

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

Positive

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

Positive

"• Quality and sustainability were discussed in relevant meetings where all staff had sufficient access to information."

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."

Positive

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