What is the Quality of Safety at Wetherby Surgery

Positive

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

Positive

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

Positive

"• There was a comprehensive range of safety policies which were available on the provider’s computer system."

Positive

"• All staff received uptodate safeguarding and safety training appropriate to their role."

Positive

"• The practice responded appropriately to medicines alerts medical device alerts and other patient safety alerts; we saw records of the action taken in response to these."

Positive

"• There was a strong emphasis on the safety and wellbeing of all staff."

Positive

"• There was a clear system in place for acting upon and cascading drug safety alerts."

Positive

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

Positive

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

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

"In addition all staff completed health and safety training as part of their mandatory training requirements on an annual basis."

Neutral

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

Positive

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

Positive

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

Positive

"• Staff involved patients in their care and treated them with compassion kindness dignity and respect."

Positive

"• Staff were clear on their roles and accountabilities including in respect of safeguarding infection prevention and control and supporting good governance."

Positive

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

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

"• Staff received mandatory training including safeguarding ‘PREVENT’ and equality and diversity."

Positive

"• The practice actively promoted equality and diversity."

Neutral

"Staff had received equality and diversity training."

Positive

"For example; an incident had been reported as a result of a complaint when a patient had been unable to get through to the practice by telephone for an extended period of time."

Positive

"• The complaint policy and procedures were in line with recognised guidance and contractual arrangement for GP practices."

Positive

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

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

"• All complaints were shared with the provider’s governance team who had an overarching view."

Neutral

"• All clinical operational and clinical governance arrangements were addressed at the provider’s executive board level."

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 care provided."

Positive

"• We asked to see examples of quality improvement activity for example prescribing audits."

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."