You are here

Lindfield Medical Centre Good Also known as Dr Reader & Partners

All reports

Inspection report

Date of Inspection: 3 July 2014
Date of Publication: 6 August 2014
Inspection Report published 06 August 2014 PDF | 63.17 KB

People should be protected from abuse and staff should respect their human rights (outcome 7)

Meeting this standard

We checked that people who use this service

  • Are protected from abuse, or the risk of abuse, and their human rights are respected and upheld.

How this check was done

We looked at the personal care or treatment records of people who use the service, carried out a visit on 3 July 2014 and talked with staff.

Our judgement

People who use the service were protected from the risk of abuse, because the provider had taken reasonable steps to identify the possibility of abuse and prevent abuse from happening.

Reasons for our judgement

People who use the service were protected from the risk of abuse, because the provider had taken reasonable steps to identify the possibility of abuse and prevent abuse from happening.

During our inspection of 3 April 2014 we found that people who use the service were not protected from the risk of abuse. This was because the provider had not taken reasonable steps to identify the possibility of abuse and prevent abuse from happening. There was no clearly defined policy for staff to follow in cases where abuse might be suspected. Copies of multi-agency procedures available to staff were very out of date. We saw that whilst staff had undergone safeguarding training in relation to safeguarding children, some clinical staff had not undertaken training in safeguarding of vulnerable adults.

The provider sent us an action plan detailing how and when they would achieve compliance with the regulations.

We carried out this inspection on 3 July 2014 to determine whether the provider had made improvements which ensured the safety of people using the service.

We saw there were policies in place for the safeguarding of children and vulnerable adults. Staff had access to these policies via the practice computer system. The policies included information about the types and signs of abuse and clearly defined processes for staff to follow in cases where abuse may be suspected. Reference was made within the policies to local authority safeguarding guidelines. Direct links to local authority guidelines were also available to staff via the practice computer system. We saw that safeguarding information was displayed within the practice waiting room, encouraging patients and visitors to identify and report concerns regarding children or adults being at risk of abuse. This demonstrated that the risk of people being abused was taken seriously by the practice.

A detailed programme of training had been put in place for staff. We looked at the training records of all staff employed at the practice, including GPs, nurses, reception and administration staff. We saw that all staff had completed training in the safeguarding of children and domestic violence. The records also confirmed that all clinical staff had completed training in safeguarding of vulnerable adults and the Mental Capacity Act 2005 since our last inspection. Reception and administration staff had undertaken on-line training in safeguarding of vulnerable adults. This meant that vulnerable adults and children would be protected from the risk of abuse because staff had been made aware of processes to enable them to identify and report suspected abuse.

Staff we spoke with were able to describe procedures for reporting concerns. The practice manager explained that the practice had appointed a GP as the lead for the safeguarding of children and vulnerable adults. We saw the GP had recently completed training relevant to their lead role. We spoke with the GP safeguarding lead. They described a recent incident where they had identified a child at possible risk of abuse and the processes they had followed in reporting those concerns. We spoke with two nurses and a GP partner who were able to describe what action they would take in response to potentially abusive situations. Staff were clear about the procedures they would follow. They told us they would speak with one of the doctors in the first instance if they had concerns about a patient. Staff also referred to safeguarding notices which were displayed throughout the practice and were accessible via the practice computer system. These provided staff and patients with a summary of actions to be taken and contact numbers of external agencies. Staff were aware these should be referred to if responding to urgent safeguarding concerns or if the lead was not available.

The practice had developed a whistleblowing policy since our last inspection. Whistleblowing is the raising of concerns or reporting of wrongdoing within an organisation. Staff