What is the Quality of Facilities at Dr Salako and Partners

Positive

"We saw that end of life support mechanisms for patients included McMillan and palliative care specialist referrals to the local hospice and regular case reviews were actioned with multidisciplinary teams to ensure patient and carer support."

Neutral

"• GPs worked with local multidisciplinary teams to reduce the number of unplanned hospital admissions for patients at risk including those with dementia and those receiving end of life palliative care."

Neutral

"Care plans were in place for those patients suffering with dementia poor mental health and palliative care."

Neutral

"We saw through minutes that the care and treatment of patients who were receiving palliative care those who were identified as being at risk of unplanned hospital admission and other vulnerable patients were discussed and reviewed."

Positive

"GPs and the practice nurse we spoke with told us when providing care and treatment for children young people or where a patient’s mental capacity to consent to care or treatment was unclear assessments of capacity to consent were carried out in line with relevant guidance."

Positive

"• The practice nurse had a lead role in chronic disease management and patients at risk of hospital admission were identified as a priority and referred to the community matron to support them at home to reduce the risk of readmission to hospital."

Positive

"This included training the practice nurse to support diabetic patients in the management of their condition."

Positive

"• Processes were in place for implementing and monitoring the use of best practice guidelines and the practice demonstrated positive outcomes for patients through the care and treatment provided."

Positive

"Management monitoring and improving outcomes for people GPs staff and patients we spoke with told us that the practice was proactive in promoting patients’ health and disease prevention to improve outcomes for people."

Positive

"• Staff we spoke with were aware of medicine management policies and monitoring systems were in place to pick up medicine errors."

Positive

"We looked at monitoring systems and spoke with the lead for the Quality and Outcomes Framework QOF and performance against national screening programmes to monitor 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

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

Positive

"We saw examples of issues raised being discussed with the PPG such as misuse of parking bays Are services wellled?"

Neutral

"Access for disabled people was in place including parking for the disabled and washroom facilities."

Neutral

"There is parking for the disabled at the front of the building and translation services are available for those patients whose first language is not English."

Neutral

"They had assisted in training community nurses in their independent prescribing training and were providing clinical supervision for the new medical assistants being trained by the deanery."

Positive

"An example we found was of a recent health and safety audit which resulted in a review of training to heighten awareness of hazardous substances and a reduction in nonessential equipment to improve cost Are services effective?"

Positive

"There was a health and safety policy available for staff reference."

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

"Other examples concerned equipment being moved to a designated room to ensure cleaning was actioned routinely and the system for the disposal of urine samples was clarified to ensure safe infection control practices were adopted at all times to protect staff from infection."

Positive

"• Staff we spoke with were aware of medicine management policies and monitoring systems were in place to pick up medicine errors."

Positive

"An example given showed the GP supporting a patient with their medicine and oxygen requirements and then phoning the patient on several occasions to check on their welfare."

Neutral

"We saw that the practice carried out regular medicine audits and monitored fridge temperatures regularly."