What is the Quality of Safety at Upton Rocks Surgery

Positive

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

Positive

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

Positive

"• The practice carried out DBS • All staff received uptodate safeguarding and safety training appropriate to their role."

Positive

"Track record on safety Are services safe?"

Positive

"• The practice monitored and reviewed activity such as significant events patient safety alerts referral and prescribing practices."

Positive

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

Positive

"• The practice leaders told us and a sample of records reviewed confirmed that they had established 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 safety policies which were communicated to staff."

Positive

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

Positive

"This helped it to understand risks and gave a basis on which to make safety improvements."

Positive

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

Positive

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

Positive

"• Newsletters were distributed on a quarterly basis to all clinicians providing clinical updates for example MHRA drug safety updates and Public Health England updates to guidance."

Neutral

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

Positive

"• The practice referred patients to appropriate services such as domestic abuse services counselling services military veterans service and to the community wellbeing officer."

Positive

"Stable patients were offered anticoagulation monitoring at the practice and other patients were sign posted to a local clinic to avoid unnecessary travel and to ease the process of regular blood screening."

Positive

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

Positive

"The responses indicated that patients responded positively to questions about having confidence and trust in clinical and nonclinical staff being treated with dignity and respect and indicated patients were overall happy with their experiences of the service."

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 treating patients with dignity and respect."

Positive

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

Positive

"Information promoting equality and diversity was displayed."

Positive

"• The practice promoted equality and diversity."

Neutral

"Staff had received equality and diversity training."

Positive

"• Information about how to make a complaint or raise concerns was available in the patient information leaflet and in the waiting area."

Positive

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

Positive

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

Positive

"• The practice protected patient confidentiality by providing staff training in information governance and confidentiality and having procedures to support this training."

Positive

"• Quality and sustainability were discussed in relevant meetings."

Positive

"This includes consultation about the relocation of the main site and the sustainability of the branch practice."

Positive

"This included consultation about the relocation of the main site and the sustainability of the branch practice."

Positive

"Monitoring care and treatment The practice undertook quality improvement activity and reviewed the effectiveness and appropriateness of the care provided."

Positive

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

Positive

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