What is the Quality of Facilities at Ashwell Surgery

Positive

"• The practice worked closely with involved staff in the community such as the district nurse and palliative care nurse to ensure patient care was coordinated."

Positive

"There is a practice nurse who is supported by a health care assistant."

Positive

"The practice communicated regularly with the district nurse the health visitor the midwife and the palliative care team on specific patient care needs."

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

"The practice nurse the healthcare assistant and on some occasions two receptionists acted as chaperones."

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 is a local service for the monitoring of patients on blood thinning medication for those patients that can attend the practice and for the housebound."

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

"For example the practice had introduced a reminder system on the repeat prescriptions to ask patients to complete all monitoring information needed to help manage a particular respiratory condition."

Positive

"• The practice used the Quality and Outcomes Framework QOF clinical audit outcomes and other monitoring information to measure its performance."

Neutral

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

Positive

"There is free car parking outside the surgery with adequate disabled parking available."

Positive

"• The practice worked closely with involved staff in the community such as the district nurse and palliative care nurse to ensure patient care was coordinated."

Positive

"The practice communicated regularly with the district nurse the health visitor the midwife and the palliative care team on specific patient care needs."

Positive

"For example in an incident related to wound care we saw that the patient had been contacted and the situation had been explained to them honestly with an apology and reassurance given."

Positive

"• The practice used the Quality and Outcomes Framework QOF clinical audit outcomes and other monitoring information to measure its performance."

Neutral

"For example recent action taken as a result clinical audit showed that antibiotics for urinary tract infections had been prescribed for the correct recommended number of days."

Positive

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

Positive

"For example during our inspection we looked at a number of policies including those related to safeguarding health and safety and complaints management and found that these were relevant and up to date."

Neutral

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

Neutral

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

Positive

"There were other risk assessments including one for legionella Legionella is a term for a particular bacterium which can contaminate water systems in buildings and for the control of any hazardous cleaning materials stored within the practice."

Neutral

"• The practice assigned named GPs to specific frail elderly patients for home visits and the practice liaised with the HomeFirst service which is a rapid response service that operated in Lea Valley and North Hertfordshire areas and helped people stay well and independent."