What is the Quality of Facilities at Whitehill Surgery

Positive

"The allfemale nursing team consists of one nurse prescriber two practice nurses and three health care assistants with a mix of skills and experience."

Positive

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

Positive

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

Positive

"The allfemale nursing team consists of one nurse prescriber three practice nurses and two health care assistant with a mix of skills and experience."

Positive

"During the inspection we spoke with five GPs two GP Registrars one nurse prescriber one practice nurse one health care assistant five members of reception including the reception manager the ‘carers champion’ practice manager and finance manager."

Neutral

"A nurse we spoke with told us there were a number of services available for health promotion and prevention."

Positive

"• Staff encouraged and supported patients to be involved in monitoring and managing their own health."

Positive

"• Arrangements were in place for planning and monitoring the number and mix of staff needed to meet patients’ needs including planning for holidays sickness busy periods retirements and epidemics."

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."

Positive

"Historic quality data demonstrated the monitoring of patients with long term conditions for example diabetes compared better than the national average."

Positive

"Management monitoring and improving outcomes for people Staff across the practice had key roles in monitoring and improving outcomes for patients."

Positive

"• There were procedures in place for 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

"This daily clinic allows patients to have their blood monitoring completed at the practice and reduced the requirement to visit the local hospital."

Neutral

"We looked at documentation including relevant monitoring tools for training recruitment maintenance and cleaning of the premises."

Neutral

"• Arrangements were in place for planning and monitoring the number of staff and mix of staff needed to meet patients’ needs."

Positive

"• The practices’ uptake for breast and bowel cancer screening was in line the local CCG averages and the national averages."

Neutral

"The practice were aware of the areas of lower than average performance and we were told of plans to promote cancer screening across all patient demographics including more literature in the reception area."

Neutral

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

Positive

"• The practice provided person centred care to meet the needs of the older patients in its population and had a range of enhanced services for example in dementia end of life care and reducing admissions to hospital."

Positive

"• Patients with end of life care needs and their families were well supported by the practice."

Positive

"Aligned to the ‘Excellence in Atrial Fibrillation’ project we saw a recently completed clinical audit which reviewed stroke prevention and showed significant improvement in the identification and management of patients at risk of a stroke linked to AF."

Positive

"This included an induction process onetoone meetings appraisals coaching and mentoring clinical supervision and support for revalidation."

Positive

"This included ongoing support during sessions appraisals clinical supervision and facilitation and support for the revalidation of doctors."

Positive

"• The practice acted on and learned from external safety events as well as patient and medicine safety alerts."

Positive

"Exception reporting is the removal of patients from QOF calculations where for example the patients decline or do not respond to invitations to attend a review of their condition or when a medicine is not appropriate."

Positive

"Safety alerts including medicine and equipment alerts were monitored using information from a range of sources including National Institute for Health and Care Excellence NICE guidance."

Positive

"The practice had nine categories of audit including specific audits for cardiology branch of medicine Are services effective?"

Neutral

"• All these patients had a named GP and a structured annual review to check that their health and medicine needs were being met."

Neutral

"We looked at documentation including relevant monitoring tools for training recruitment maintenance and cleaning of the premises."