The practice had arrangements to ensure that facilities and equipment were safe and in good working order.An annual audit had been completed however some required actions had not been completed. There was an effective system to manage infection prevention and control but this required strengthening.The practice carried out appropriate staff checks at the time of recruitment and on an ongoing basis.Staff took steps, including working with other agencies, to protect patients from abuse, neglect, discrimination and breaches of their dignity and respect.(DBS checks identify whether a person has a criminal record or is on an official list of people barred from working in roles where they may have contact with children or adults who may be vulnerable.) Staff who acted as chaperones were trained for their role and had received a Disclosure and Barring Service (DBS) check. Learning from safeguarding incidents were available to staff.
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They knew how to identify and report concerns. All staff received up-to-date safeguarding and safety training appropriate to their role.
Yet patients were still dissatisfied with the access to the service.
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The practice had identified 0.3% of its practice list as carers by highlighting them during registration and clinical consultations.There was an effective system for receiving and actioning patient safety and medicine alerts.Safety risk assessments had been completed however in some cases the actions highlighted in the assessments had not been completed.The practice had assessed the process of recording fridge temperatures and put in place a staff rota. We found staff had not regularly documented checks on the fridge where vaccinations were stored. The system for storing vaccinations was ineffective.
We carried out an announced comprehensive at VH Doctors Ltd on 30 July 2018 as part of our inspection programme to follow up concerns previously highlighted in the July 2017 inspection. The key questions at this inspection are rated as:Īre services responsive? – Requires improvement (Previous rating July 2017 – Requires improvement)