What is the Quality of Facilities at New Hayesbank Surgery

Positive

"The practice nurse was the infection control clinical lead who liaised with the local infection prevention teams to keep up to date with best practice."

Positive

"• Where a patient’s mental capacity to consent to care or treatment was unclear the GP or practice nurse assessed the patient’s capacity and recorded the outcome of the assessment."

Positive

"The practice had inhouse learning disability nurse lead clinics."

Positive

"During our visit we: • Spoke with a range of staff six GPs one GP registrar the practice and assistant practice manager two specialist primary care nurses a lead nurse a practice nurse a healthcare assistant administrative and reception staff and spoke with six patients who used the service."

Positive

"The student nurse brought this to the attention of the safeguarding lead who arranged an urgent meeting with social services."

Neutral

"For example the GP safeguarding lead told us about a recent case of a female teenage patient who during an appointment with a nurse had said something that was noted by a student nurse."

Positive

"Testament to this was that the apprentice had been offered a receptionist post and had accepted."

Positive

"Management monitoring and improving outcomes for people The practice used the information collected for the Quality and Outcomes Framework QOF and performance against national screening programmes to monitor outcomes for patients."

Positive

"• There were procedures for monitoring and managing risks to patient and staff safety."

Positive

"The GP’s ensured patients had had all the necessary diagnostic checks so there was no need for second scans blood tests or ECGs a heart monitoring test before seeing the consultant at the surgery."

Neutral

"It is based on a combination of what we found when we inspected information from our ongoing monitoring of data about services and information given to us from the provider patients the public and other organisations."

Neutral

"• There were arrangements for the planning and monitoring the number of staff and mix of staff needed to meet patients’ needs."

Neutral

"One of the Specialist Nurses oversaw the prescribing of Methotrexate a medicine that is used to treat certain cancers severe psoriasis and rheumatoid arthritis to ensure continuity for patients and accurate recording of blood tests in monitoring books."

Neutral

"For example: • Patients receiving end of life care carers and those at risk of developing a longterm condition."

Positive

"This included ongoing support onetoone meetings coaching and mentoring clinical supervision and facilitation and support for revalidating GPs and nurses."

Positive

"There was a health and safety policy available with a poster in the reception office which identified local health and safety representatives."

Neutral

"This covered such topics as safeguarding infection prevention and control fire safety awareness health and safety and confidentiality."

Neutral

"This covered such topics as safeguarding infection prevention and control fire safety awareness health and safety and confidentiality."

Positive

"Team members included GPs an elderly care consultant social care staff community nurses and representatives from the voluntary sector."

Positive

"They have been used in many areas including chronic disease management care plan generation care home ward rounds increased visit capacity for frail and elderly and also to assist in supplying holistic care for our most vulnerable patients."

Positive

"• The practice funded a community ‘virtual’ ward which met once a fortnight team members included GPs an elderly care consultant social care staff community nurses and representatives from the voluntary sector."

Positive

"Information about patients’ outcomes was used to make improvements such as routinely reviewing patients on a certain medicine which had adverse cardiac heart side effects."

Neutral

"One of the Specialist Nurses oversaw the prescribing of Methotrexate a medicine that is used to treat certain cancers severe psoriasis and rheumatoid arthritis to ensure continuity for patients and accurate recording of blood tests in monitoring books."