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Davyhulme Medical Centre Good

All reports

Inspection report

Date of Inspection: 18 September 2013
Date of Publication: 2 October 2013
Inspection Report published 02 October 2013 PDF

The service should have quality checking systems to manage risks and assure the health, welfare and safety of people who receive care (outcome 16)

Meeting this standard

We checked that people who use this service

  • Benefit from safe quality care, treatment and support, due to effective decision making and the management of risks to their health, welfare and safety.

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 18 September 2013, observed how people were being cared for and talked with people who use the service. We talked with staff.

Our judgement

The provider had an effective system to regularly assess and monitor the quality of service that people receive.

Reasons for our judgement

The practice had a complaints policy, information about which was outlined in the practice information on the website. Complaints were addressed in a timely way and the practice held an annual complaints review meeting to look at patterns and learning points from complaints received. We spoke with six patients who all told us that they had not had occasion to complain, but would be confident that their complaints would be addressed appropriately should the need arise.

We saw that there was a business continuity plan to be implemented in the event of an emergency.

The practice had systems in place to deal with significant events. They held quarterly significant events meetings to look at learning from these. For example, a patient had fainted in the waiting room and following this event the visibility from the reception desk had been improved so that the reception staff would be aware of similar incidents more quickly.

A number of audits were carried out at the practice, such as a yearly minor operations audit and health and safety walk rounds. We saw evidence of the most recent health and safety walk round where observations were recorded and issues addressed. We saw evidence of a recent infection control audit, undertaken in May 2013 by the PCT for which the practice had scored 95%.

We saw that patient suggestions and opinions were sought in various ways, such as through the PPG meetings and via annual patient satisfaction surveys. We saw evidence of actions taken as a result of these views and ideas.