What is the Quality of Safety at Priory Medical Centre

Positive

"Risks to patients There were systems to assess monitor and manage risks to patient safety however some were not adequate."

Positive

"All 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

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

Positive

"• Practice leaders had established policies procedures and activities to ensure safety but did not always assure themselves that they were operating as intended."

Positive

"Practice leaders had oversight of national and local safety alerts incidents and complaints."

Positive

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

Positive

"• Systems for prescription safety were in place."

Positive

"• There were some issues in relation to safety issues."

Positive

"Risk assessments in relation to health and safety issues in the practice premises were in evidence."

Positive

"We found that increased oversight was necessary by the management team with regard to some monitoring of safety issues."

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

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

Positive

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

Positive

"Lessons were shared to make sure action was taken to improve safety in the practice."

Positive

"• When there were unintended or unexpected safety incidents patients received reasonable support truthful information a verbal and written apology and were told about any actions to improve processes to prevent the same thing happening again."

Positive

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

Positive

"• When there were unintended or unexpected safety incidents patients received reasonable support truthful information a verbal and written apology."

Positive

"• We reviewed safety records incident reports national 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 office which identified local health and safety representatives."

Positive

"The practice had systems in place for knowing about notifiable safety incidents."

Positive

"When there were unexpected or unintended safety incidents: • The practice gave affected people reasonable support truthful information and a verbal and written apology • They kept written records of verbal interactions as well as written correspondence."

Neutral

"It covered such topics as safeguarding infection prevention and control fire safety health and safety and confidentiality."

Neutral

"There was an infection control protocol which was fully embedded."

Neutral

"Annual infection control audits had been undertaken."

Positive

"If they were found to be at risk of developing the disease they were offered an educational session with diet and lifestyle advice."

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

"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 harassment discrimination and breaches of their dignity and respect."

Positive

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

Positive

"Patients said they felt the practice offered an excellent service and staff were helpful caring and treated them with dignity and respect."

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

"They wrote they were treated with respect and were listened to with care and sensitivity."

Positive

"They said their dignity and privacy was respected."

Positive

"• Curtains were provided in consulting rooms to maintain patients’ privacy and dignity during examinations investigations and treatments."

Positive

"They had won and been nominated for several awards following improvements to the quality of care for patients in wound care and early identification of prediabetes."

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

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

Positive

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

Positive

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

Positive

"They said their dignity and privacy was respected."

Positive

"• Curtains were provided in consulting rooms to maintain patients’ privacy and dignity during examinations investigations and treatments."

Positive

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

Positive

"• Staff knew how to recognise signs of abuse in vulnerable adults and children."

Positive

"• The practice actively promoted equality and diversity."

Neutral

"Staff had received equality and diversity training."

Positive

"There was a system in place for complaint handling and complaints we examined on the day were dealt with appropriately."

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

"Telephone access had been a repeated complaint from patients."

Positive

"• Structures processes and systems to support good governance and management were clearly set out understood and effective."

Positive

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

Positive

"The governance and management of partnerships joint working arrangements and shared services promoted interactive and coordinated personcentred care."

Positive

"• There was a governance framework however we found some of the systems and processes required further improvement."

Neutral

"The practice had policies and procedures to govern activity and held governance meetings."

Neutral

"• Staff received training that included: safeguarding fire procedures and basic life support and information governance awareness."

Neutral

"Governance arrangements There was a governance framework however we found some systems and processes required improvement to monitor and assess the whole service in relation to risk ."

Positive

"• Quality and sustainability were discussed in relevant meetings but some staff said they did not have sufficient access to information and that communication could be improved with more regular meetings."

Positive

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

Positive

"The practice could also demonstrate quality improvement activity in relationship to the telephone system which included adding more lines and call handlers and this was an ongoing action."