What is the Quality of Safety at Wincanton Health Centre

Positive

"• The provider must have safe systems in place for fire safety training for persons undertaking risk assessments infection control and chemicals stored and used at the practice."

Neutral

"At this inspection we found: • The practice had implemented safe systems that had been sustained to manage risks associated with the recruitment and employment of staff fire safety health and safety medicines management and safe prescription paper handling."

Positive

"• There were risk assessments with the exception of COSHH Control of substances hazardous to health in relation to safety issues and emergency medicines."

Positive

"They stopped accepting telephone requests for prescriptions on safety grounds and in line with national guidance however they routinely issue two months of medication where safe and appropriate to improve convenience and compliance."

Positive

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

Positive

"There were not safe systems in place for fire safety training for persons undertaking risk assessments infection control and chemicals stored and used at the practice."

Positive

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

Positive

"Additional training and support was needed at practice and provider level to ensure health and safety monitoring was carried out by trained and knowledgeable persons."

Positive

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

Positive

"• The provider must have safe systems in place for fire safety training for persons undertaking risk assessments infection control and chemicals stored and used at the practice."

Positive

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

Positive

"• The provider had implemented a portfolio of new and updated corporate policies procedures and activities to ensure safety and assure themselves that they were operating as intended."

Positive

"In particular: The provider must have safe systems for fire safety training for persons undertaking risk assessments infection control and chemicals stored and used at the practice."

Positive

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

Positive

"• The practice monitored and reviewed safety using information from a range of sources."

Positive

"• The provider had carried out regular audits for health and safety however there was no trained health and safety staff lead at the practice or within the organisation."

Positive

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

Positive

"However in other aspects such as recruitment health and safety and management of the location these were still being formalised."

Positive

"The provider had set up a focussed quality monitoring system at practice and provider level for monthly reporting on key areas which included safety alerts incidents and complaints."

Positive

"• The provider must have safe systems in place for fire safety training for persons undertaking risk assessments infection control and chemicals stored and used at the practice."

Positive

"There were not safe systems in place for fire safety training for persons undertaking risk assessments infection control and chemicals stored and used at the practice."

Positive

"Minor changes were needed to ensure that the cleaning team were following good infection control practices."

Positive

"• The provider must have safe systems in place for fire safety training for persons undertaking risk assessments infection control and chemicals stored and used at the practice."

Positive

"In particular: The provider must have safe systems for fire safety training for persons undertaking risk assessments infection control and chemicals stored and used at the practice."

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

"Vision and strategy The provider had a vision “to provide healthcare which is available to a whole population and create a partnership between patient and health profession which ensures mutual respect holistic care and continuous learning and training.”"

Positive

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

Positive

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

Positive

"• Staff took steps including working with other agencies to protect patients from abuse neglect discrimination and breaches of their dignity and respect."

Positive

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

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

"• The provider considered and understood the impact on the quality of care of service changes or developments."

Neutral

"• Policies and procedures and a system of governance had been implemented and embedded."

Positive

"Governance arrangements Most arrangements were in the process of being either implemented or embedded to ensure clear responsibilities roles and systems of accountability to support good governance and management both at practice and provider level."

Positive

"• The governance and management of joint working arrangements across the provider organisation and with the local area shared services such as the complex care team promoted coordinated personcentred care."

Positive

"The provider had implemented new areas of governance and assessment of the quality of the services provided such as oversight audit and support although it was too early to show that this was effective."

Positive

"SHS told us they were in the process of establishing and providing administration and governance support including HR maintenance finance and quality assurance processes."

Neutral

"• There were new policies and procedures and a new system of governance which needed to have time to be fully implemented and embedded."

Positive

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

Positive

"• Staff took steps including working with other agencies to protect patients from abuse neglect discrimination and breaches of their dignity and respect."

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

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

Positive

"SHS told us they were in the process of establishing and providing administration and governance support including HR maintenance finance and quality assurance processes."

Positive

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

Positive

"The practice used an alternative quality improvement scheme implemented by Somerset Clinical Commissioning Group the Somerset Practice Quality Scheme SPQS."

Positive

"The provider had set up a focussed quality monitoring system at practice and provider level for monthly reporting on key areas which included safety alerts incidents and complaints."