What is the Quality of Safety at Oaklands Surgery

Positive

"• Ensure there are safe systems in place for fire safety checks for safe equipment including calibration training for persons undertaking health and safety audits and risk assessments for infection prevention and control and for chemicals used by the practice."

Positive

"• Review and develop an auditable system for managing safety alerts received at the practice."

Neutral

"• There were safe systems in place for fire safety checks for safe equipment including calibration training for persons undertaking health and safety audits and risk assessments for infection prevention and control and for chemicals used by the practice."

Positive

"Track record on safety The practice had information to show that generally they a good track record on safety."

Positive

"• There were some comprehensive risk assessments with the exception of COSHH Control of substances hazardous to health chemicals used directly by practice staff such as dishwasher tablets and fire safety assessments of the rooms where the boiler and the computer service were housed."

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

"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

"SHS were aware what they needed to ensure that there was a good oversight and system in place for fire safety electrical equipment and chemicals stored and used at the practice."

Positive

"However there were gaps in information for some aspects of safety which may have compromised patient and staff safety."

Positive

"• The practice acted on some 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

"• Ensure there are safe systems in place for fire safety checks for safe equipment including calibration training for persons undertaking health and safety audits and risk assessments for infection prevention and control and for chemicals used by the practice."

Positive

"• Review and develop an auditable system for managing safety alerts received at the practice."

Positive

"This meant there was a risk patients and staff safety and inaccurate assessments of patients may occur."

Positive

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

Positive

"However in other aspects such as recruitment obtaining information regarding staff immunisations and training health and safety fire 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

"In particular:The provider must have safe systems in place for fire safety checks for safe equipment including calibration infection control and chemicals stored and used at the practice."

Neutral

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

Neutral

"However we found that there were gaps in the oversight of the calibration of equipment as we found at Yeovil Health Centre a spirometer in the home visit bag and pulse oximeter BP monitor and auroscopes in rooms had not been checked for electrical safety or calibration."

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

"• The practices GP patient survey results were in line with local and national averages for questions relating to kindness respect and compassion."

Positive

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

Positive

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

Positive

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

Positive

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

Positive

"• Ensure there are governance systems for clinical oversight of the advance nurse practitioners and health care assistants."

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 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 the day to day running of the practice including HR maintenance finance and quality assurance processes."

Positive

"• Clinical governance was not in place for advanced nurse practitioners and health care assistants."

Positive

"• Ensure there are governance systems for clinical oversight of the advance nurse practitioners and health care assistants."

Neutral

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

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."

Positive

"Privacy and dignity The practice 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

"In particular:The provider must have safe systems in place for fire safety checks for safe equipment including calibration infection control and chemicals stored and used at the practice."

Positive

"• The practice actively promoted equality and diversity."

Positive

"• Information about how to make a complaint or raise concerns was available."

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 the day to day running of the practice including HR maintenance finance and quality assurance processes."

Positive

"Monitoring care and treatment The practice had a programme of quality improvement activity and 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."