- GP practice
Pinfold Medical Practice
Report from 30 October 2024 assessment
Contents
On this page
- Overview
- Learning culture
- Safe systems, pathways and transitions
- Safeguarding
- Involving people to manage risks
- Safe environments
- Safe and effective staffing
- Infection prevention and control
- Medicines optimisation
Safe
The practice had systems in place to ensure people received safe care and treatment. There were processes in place to ensure patients received appropriate clinical care and treatment in relation to prescribing medicines. We saw there was effective oversight of patients taking medications which required monitoring.
This service scored 75 (out of 100) for this area. Find out what we look at when we assess this area and How we calculate these scores.
Learning culture
Patient feedback regarding learning culture was limited. However, information we did receive was positive stating they felt listened to when raising concerns and changes were made when appropriate. We noted the PPG were involved in reviewing complaints and were able to feedback to the practice to direct change.
Staff were aware of their responsibilities and knew how to identify and report concerns and safety incidents. The practice demonstrated they managed significant events and complaints appropriately and staff were involved in identifying any learning.
Feedback and learning from significant events and complaints was shared with staff via their managers and at staff meetings. Information on how to make a complaint was displayed in the patient waiting area. Significant event reporting forms were available to all staff to access from the practice computer system. The PPG were involved in reviewing complaints to share their views on improvements that could be made.
Safe systems, pathways and transitions
We did not look at Safe systems, pathways and transitions during this assessment. The score for this quality statement is based on the previous rating for Safe.
Safeguarding
We did not look at Safeguarding during this assessment. The score for this quality statement is based on the previous rating for Safe.
Involving people to manage risks
We did not look at Involving people to manage risks during this assessment. The score for this quality statement is based on the previous rating for Safe.
Safe environments
We did not look at Safe environments during this assessment. The score for this quality statement is based on the previous rating for Safe.
Safe and effective staffing
We did not look at Safe and effective staffing during this assessment. The score for this quality statement is based on the previous rating for Safe.
Infection prevention and control
We did not look at Infection prevention and control during this assessment. The score for this quality statement is based on the previous rating for Safe.
Medicines optimisation
The evidence we reviewed did not show any concerns about people’s experience regarding medicines optimisation at this practice.
Staff told us that they involved patients in decisions about their medicines during reviews and assessments. Staff were confident on the systems which were in place to support timely recalls and were able to demonstrate processes in place should patients not comply with monitoring requirements. Staff told us that the practice had proactive systems in place to disseminate clinical updates and updated professional guidance to clinicians within the service.
During our on site assessment we found there was appropriate emergency medicines which had been assessed in relation to the population they served. There was evidence that emergency medicines and equipment was regularly reviewed. We found that medicines within the practice were appropriately stored including those that required refrigeration and there were systems to ensure temperature monitoring took place.
The practice had detailed policies for the management of medicines within the service. There were effective processes for oversight of prescribing within the service, including supervision and audits taking place for practice staff as well as any other clinicians who worked within the practice. The practice had processes in place to support effective recall systems to ensure patients received timely reviews of their clinical care. There were systems in place to act upon safety alerts which were received into the practice, however we found that not all necessary alerts were being received.
Our review of the clinical system showed that patients were generally well managed. We found good systems in place to ensure prescribing medicines was in line with guidance and regularly reviewed, with clear medication reviews documented. We found that patients who received repeat medications which required additional monitoring was generally up to date, and the practice had a system in place for patients who were not compliant to ensure their treatment remained to be safe.