What is the Quality of Facilities at John Smith Medical Centre

Positive

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

Positive

"The practice manager was the infection control lead who liaised with the local infection control and prevention teams and the company’s centralised lead nurse to keep up to date with best practice."

Positive

"Management monitoring and improving outcomes for people The practice participated in the Quality and Outcomes FrameworkQOF."

Positive

"We observed how people were being greeted at reception and inspected the premises equipment and a range of policy and monitoring documents."

Positive

"• There were procedures in place for monitoring and managing identified 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

"However while the practice participated in local benchmarking and performance monitoring we did not see examples of completed clinical audit cycles."

Neutral

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

Positive

"• Ensure that completed clinical audit cycles are carried out to ensure that identified improvements are sustained."

Neutral

"However while the practice participated in local benchmarking and performance monitoring we did not see examples of completed clinical audit cycles."

Positive

"For example the practice had conducted a clinical audit into its management of polypharmacy and as a result had reduced unnecessary prescriptions with the involvement of the patients concerned."

Neutral

"The practice had not developed a systematic clinical audit programme."

Positive

"This GP was also the lead for integrated care palliative care and adult safeguarding for the practice."

Positive

"The practice held a list of patients receiving palliative care."

Positive

"The lead GP for palliative care visited these patients at home on a fortnightly basis and liaised with the local endoflife facilitator."

Positive

"The practice provides the regulatory activities of: diagnostic and screening procedures; treatment for disease disorder or injury; family planning services; surgical procedures; and maternity and midwifery services."

Positive

"The practice signposted older patients to a wide range of voluntary organisations activities and local fitness and lunch clubs depending on their needs and preferences."

Positive

"The practice provided information for patients experiencing poor mental health how to access various support groups and voluntary organisations including activities and clubs to promote healthier lifestyles and reduce social isolation."

Positive

"One of the GPs provided clinical supervision and support for the health care assistant."

Positive

"There was a health and safety policy available."

Neutral

"• The practice had an induction programme for newly appointed nonclinical members of staff that covered such topics as safeguarding fire safety health and safety and confidentiality."