What is the Quality of Safety at Keats Grove Surgery

Positive

"• Consider providing privacy curtains or a screen in all consulting rooms to maintain the privacy and dignity of patients when receiving treatment."

Positive

"Consultations and treatments were carried out in the privacy of a consulting room to maintain patients’ privacy and dignity during examinations investigations and treatments."

Neutral

"We saw that neither privacy curtains or screen was available in one of the rooms."

Neutral

"Staff told us that patients privacy was maintained by locking the door when required."

Positive

"• There was an effective system in place for reporting and recording significant events • Lessons were shared to make sure action was taken to improve safety in the practice."

Positive

"Overview of safety systems and processes The practice had some systems processes and practices in place to keep patients safe and safeguarded from abuse which included: • Arrangements to safeguard children and vulnerable adults from abuse."

Positive

"The practice had a variety of other risk assessments in place to monitor safety of the premises such as control of substances hazardous to health and infection control and legionella Legionella is a term for a particular bacterium which can contaminate water systems in buildings."

Positive

"• The practice had a clear vision which had quality and safety as its main priority."

Positive

"The practice had systems in place for notifiable safety incidents and ensured this information was shared with staff to ensure appropriate action was taken."

Positive

"Our key findings across all the areas we inspected were as follows: • There was an open and transparent approach to safety and an effective system in place for reporting and recording significant events."

Positive

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

Positive

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

Positive

"There was a health and safety policy available with a poster in the reception area which identified the health and safety representative."

Positive

"All staff received training that included basic life support safeguarding infection control health and safety fire safety equality and diversity chaperoning and mental capacity."

Positive

"Overview of safety systems and processes The practice had some systems processes and practices in place to keep patients safe and safeguarded from abuse which included: • Arrangements to safeguard children and vulnerable adults from abuse."

Positive

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

Positive

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

Positive

"• We saw staff treated patients with kindness and respect and maintained patient and information confidentiality."

Positive

"Patients commented that staff treated them with respect and responded compassionately when they needed help."

Positive

"• Consider providing privacy curtains or a screen in all consulting rooms to maintain the privacy and dignity of patients when receiving treatment."

Positive

"Consultations and treatments were carried out in the privacy of a consulting room to maintain patients’ privacy and dignity during examinations investigations and treatments."

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."

Positive

"The practice had a variety of other risk assessments in place to monitor safety of the premises such as control of substances hazardous to health and infection control and legionella Legionella is a term for a particular bacterium which can contaminate water systems in buildings."

Positive

"All staff received training that included basic life support safeguarding infection control health and safety fire safety equality and diversity chaperoning and mental capacity."

Neutral

"The practice nurse was the infection control clinical lead for infection control."

Neutral

"There was an infection control policy in place and staff had received up to date training."

Neutral

"Annual infection control audits were undertaken and we saw evidence that action was taken to address any improvements identified as a result."

Positive

"• Meetings were held every three months with the health visitor to discuss babies and children identified as at risk and those on the child protection register."

Positive

"All staff received training that included basic life support safeguarding infection control health and safety fire safety equality and diversity chaperoning and mental capacity."

Positive

"The process for making a complaint was detailed in the practice leaflet and on the website."

Positive

"Governance arrangements The practice had a governance framework which supported the operation of the practice and promoted good quality care."

Positive

"• There was an overarching governance framework which supported the delivery of the strategy and good quality care."

Neutral

"The practice had a number of policies and procedures to govern activity and held regular governance meetings."

Neutral

"• The practice held formal monthly meetings at which governance issues were discussed."

Positive

"The practice was aware of these results and had included plans to ensure improvement in these areas as part of its overall formal quality improvement and development plans for the practice."

Positive

"Clinical audits were carried out to facilitate quality improvement and the practice encouraged all staff to carry out audits and this included the nurses."

Positive

"To address this the practice had developed and put in place an overall quality improvement plan."