Dr Rabiatov Dabo

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

We looked for evidence that people were protected from abuse and avoidable harm.

At our last assessment, we rated this key question as Good. At this assessment, the rating remains the same.

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.

The service had a proactive and positive culture of safety, based on openness and honesty. They listened to concerns about safety and investigated and reported safety events. Lessons were learnt to continually identify and embed good practice.

People felt supported to raise concerns and felt staff treated them with compassion and understanding.

Managers encouraged staff to raise concerns when things went wrong.

During weekly clinical meetings, they discussed and learnt from clinical issues. We reviewed meeting minutes and saw that they discussed clinical issues, safeguarding, complaints and incidents. GPs told us they regularly took part in learning from safety reporting. They also discussed this in clinical team meetings to ensure they learnt from things that had not gone to plan. Staff felt there was an open culture, and that safety was a top priority. The provider had processes for staff to report incidents, near misses and safety events. They regularly audit their significant events logs and discuss as a group. We saw meeting minutes to confirm this.

There was a system to record and investigate complaints, and when things went wrong, staff apologised and gave people support. Learning from incidents and complaints resulted in changes that improved care for others. The lead GP went through a complaint that they used as a learning event. This demonstrated that they had systems in place to review and learn from events when things went wrong or concerns were raised.

The service worked with people and healthcare partners to establish and maintain safe systems of care, in which safety was managed or monitored. They made sure there was continuity of care, including when people moved between different services.

There were systems in place for processing information relating to new patients. The service worked with other providers to deliver shared care and when patients moved between services. For example, we saw evidence that they worked with private providers providing services to their patients, by sharing consultation notes and medication information.

Referrals and test results were managed in a timely way. There was a rota in place for results to be processed. The laboratory called the practice with all urgent results.

The service worked with people and healthcare partners to understand what being safe meant to them and the best way to achieve that. They concentrated on improving people’s lives while protecting their right to live in safety, free from bullying, harassment, abuse, discrimination, avoidable harm and neglect. The service shared concerns quickly and appropriately.

Safeguarding policies were in place and known to staff, who were appropriately trained in safeguarding procedures. We reviewed training records and saw that all staff had completed training to the appropriate levels for their role.

The practice maintained separate lists of vulnerable children and adults and acted on concerns working in partnership with other organisations. We discussed the list with the safeguarding lead, and they demonstrated that they had oversight over it.

The service worked with people to understand and manage risks by thinking holistically. They provided care to meet people’s needs that was safe, supportive and enabled people to do the things that mattered to them.

Emergency equipment was available and maintained. Staff checked medicines and equipment and maintained logs of their checks. Staff could recognise a deteriorating patient and knew of action to take. For example, reception staff had been trained to identify and deal with certain conditions such as chest pains and sepsis. Any concerns were escalated to a triaging clinician to action, as necessary. The practice held annually basic life support training for all staff. We reviewed training records and saw staff were up to date.

The service detected and controlled potential risks in the care environment. They made sure equipment, facilities and technology supported the delivery of safe care.

Contracts were in place to ensure the premises were maintained. This included regular fire and electrical checks completed in-house by staff, and external engineers carrying out risk assessments. Health and safety risk assessments and audits had been undertaken and risks identified had been addressed. There was a business continuity plan in place which was monitored and reviewed.

The service made sure there were enough qualified, skilled and experienced staff, who received effective support, supervision and development. They worked together well to provide safe care that met people’s individual needs.

There were a range of clinical and non-clinical roles within the practice. We found training was up to date, learning needs and development of staff was managed appropriately, and staff were working within their agreed areas of competence. Staff we spoke with demonstrated knowledge of their lead areas, such as the lead for infection control. Safe recruitment practices were followed. We reviewed five staff records and saw that documents were available to demonstrate safer recruitment.

The service assessed and managed the risk of infection. They detected and controlled the risk of it spreading and shared concerns with appropriate agencies promptly.

The practice had a designated infection, prevention and control lead and all staff had had relevant training. Cleaning schedules were in place and followed. Risk assessments and audits were completed, and actions taken to mitigate risks.

The service made sure that medicines and treatments were safe and met people’s needs, capacities and preferences. They involved people in planning, including when changes happened.

Staff involved people in reviews of their medicines and helped them understand how to manage their medicines safely. People knew what to do and who to contact if their condition did not improve or they experienced any unexpected symptoms.

Staff received regular training, were competency assessed on medicines optimisation, and felt confident managing the storage, administration and recording of medicines. Staff managed prescription stationery appropriately and securely. We reviewed the process and saw that systems were in place to identify if prescriptions were being misused.

Staff followed protocols to ensure they prescribed all medicines safely, and ensured people received all recommended medicines reviews and monitoring. They maintained a list of patients on particular controlled medicines, and this was monitored by the practice pharmacist. Alerts were used for patients if they had concerns about their management of their medicine. Medicines including controlled drugs were stored securely and at appropriate temperatures. Staff regularly checked the stock levels and expiry dates for all medicines, including emergency medicines, vaccines, and controlled drugs.

Waste medicines were recorded and disposed of appropriately including medicines returned by patients. Staff stored medical gases, such as oxygen, safely and completed required safety risk assessments. The provider had effective systems to manage and respond to safety alerts and medicine recalls.

Staff followed established processes to ensure people prescribed medicines with specific risks received recommended monitoring.

Staff took steps to ensure they prescribed medicines appropriately to optimise care outcomes, including antibiotics. Prescribing data reviewed as part of our assessment confirmed this. There was a programme of regular clinical audits of prescribing that focused on improving care and treatment.