What is the Quality of Facilities at The Pike Practice

Positive

"• The practice identified at an early stage older patients who may need palliative care as they were approaching the end of life."

Positive

"In addition the practice also had champions for palliative care elderly and patients suffering from loneliness."

Positive

"The practice also has an advanced nurse practitioner for one session week a part time practice nurse and health care assistant."

Positive

"• The practice nurse was the infection prevention and control IPC 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."

Neutral

"These were reviewed at practice meeting by the GPs practice nurse and practice manager and action was taken when required."

Neutral

"Staff who administered vaccines could demonstrate how they stayed up to date with changes to the immunisation programmes for example by access to on line resources nurse and clinical leads with SSP and discussion at practice meetings."

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

"Monitoring risks to patients There were procedures for assessing monitoring and managing risks to patient and staff safety."

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

"• The practice had a system for monitoring repeat prescribing for patients receiving medicines for mental health needs."

Neutral

"There were cleaning schedules and monitoring systems in place."

Neutral

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

Positive

"The team continue to look at means in which patients can engage in healthy lifestyle activities such as the active walks and promote the conversation café."

Positive

"As a result they provided a range of appointment times to suit working age people and had champions in place to promote patients activities and reduce isolation among the elderly population and monitor the needs of housebound patients."

Positive

"There were early and ongoing conversations with these patients about their end of life care as part of their wider treatment and care planning."

Neutral

"The practice ensured that end of life care was delivered in a coordinated way which took into account the needs of different patients including those who may be vulnerable because of their circumstances."

Neutral

"For example: • Patients receiving end of life care carers those at risk of developing a longterm condition and those requiring advice on their diet smoking and alcohol cessation."

Positive

"• There was a health and safety policy available."

Neutral

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

Positive

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

Neutral

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

Neutral

"There were cleaning schedules and monitoring systems in place."

Positive

"As a result they provided a range of appointment times to suit working age people and had champions in place to promote patients activities and reduce isolation among the elderly population and monitor the needs of housebound patients."

Positive

"In addition the practice also had champions for palliative care elderly and patients suffering from loneliness."

Neutral

"• The practice ran a weekly drop in ‘conversation café’ for patients and people living locally as a means to break down barriers and provide signposting and advice drop in access to an HCA and aimed to help reduce isolation for among the elderly and housebound."

Neutral

"The practice was also located within a rural community and the majority of their elderly patient population living in their own homes."