What is the Quality of Safety at YDUC Maple House

Positive

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

Positive

"The service 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 bacterium which can contaminate water systems in buildings."

Positive

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

Positive

"Overview of safety systems and processes The service had clearly defined and embedded systems processes and services in place to keep patients safe and safeguarded from abuse which included: • Arrangements were in place to safeguard children and vulnerable adults from abuse."

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 recording reporting and learning from significant events."

Positive

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

Positive

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

Positive

"There was a health and safety policy available with a poster in areas accessible to all staff that identified local health and safety representatives."

Positive

"This improved safety for drivers and clinicians as the control room always knew where the cars were located."

Positive

"This included support training for all staff on communicating with patients about notifiable safety incidents."

Positive

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

Positive

"• There were systems in place to ensure the safety of the outofhours vehicles."

Positive

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

Neutral

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

Positive

"Overview of safety systems and processes The service had clearly defined and embedded systems processes and services in place to keep patients safe and safeguarded from abuse which included: • Arrangements were in place to safeguard children and vulnerable adults from abuse."

Positive

"The service 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 bacterium which can contaminate water systems in buildings."

Neutral

"• Inspected the premises and looked at cleanliness and the arrangements in place to manage infection control and equipment."

Neutral

"There was an infection control lead."

Neutral

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

Neutral

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

Neutral

"• Staff had access to the British Sign Language alphabet and could signpost patients to resources such as the signed videos on NHS Choices."

Positive

"Patients said staff were helpful caring and polite 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 confidentiality."

Positive

"Where more than one organisation is involved in the provision of OOH services there must be clearly agreed responsibilities in respect of the transmission of patient data."

Positive

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

Positive

"They will report anonymised details of each complaint and the manner in which it has been dealt with to the contracting CCG."

Neutral

"For example following a complaint which included Are services responsive to people’s needs?"

Positive

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

Positive

"Governance arrangements The service had an overarching governance framework that supported the delivery of the strategy and good quality care."

Neutral

"The service had a number of policies and procedures to govern activity and held regular meetings where governance issues were discussed."

Neutral

"Monitoring reviews and clinical governance meetings were regularly held."

Positive

"There was evidence of quality improvement including clinical audit."

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."