What is the Quality of Facilities at The Pulteney Practice

Positive

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

Positive

"• Where a patient’s 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 team included a GP specialist adviser a nurse specialist adviser and a second CQC inspector."

Positive

"For example GPs are supported by personal assistants and there was proactive monitoring of patients who have care plans and ‘off –radar’ patients who are contacted to ensure their health & welfare."

Positive

"• The practice was responsive to the needs of older people with proactive monitoring communication and holistic support; including home visits and urgent appointments for those with enhanced needs."

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

"We found some gaps in monitoring and managing some areas of risk including the management of medicines fire safety and Equality Act compliance."

Positive

"We saw that appropriate monitoring of controlled drugs had not taken place."

Positive

"• There were procedures in place for monitoring and managing risks to patient and staff safety."

Positive

"There was proactive monitoring of the appointment system and this was adjusted during each day to match capacity and demand."

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

"There is no car parking available at the main site however the branch surgery has a separate car park and occupies a single story building with full disabled access and toilet facilities."

Positive

"Background to The Pulteney Practice The Pulteney Practice is a GP practice serving mainly the Bath and Bathampton area that has good local public transport links."

Positive

"Background to The Pulteney Practice The Pulteney Practice is a GP practice serving mainly the Bath and Bathampton area that has good local public transport links."

Positive

"The areas where the provider should make improvement are: • The practice should ensure that requirements for the safe cleaning of hazardous substances and samples are met."

Positive

"Action the service SHOULD take to improve • The practice should ensure that requirements for the safe cleaning of hazardous substances and samples are met."

Positive

"Any destruction of a controlled medicine should follow NHS England’s NHSE destruction guidelines and should include an authorised witness to observe the destruction."

Positive

"The receptionist knew the patient by name was patient and supportive making them an appointment for that day."

Neutral

"This included installation of a stair lift however it has faced restrictions due to the Grade I Listing of the building."

Positive

"There were some disabled facilities available at Great Pulteney Street including one ground floor consulting room and temporary ramps to cover the steps for wheelchair users."

Positive

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

Positive

"There was a health and safety policy available with a poster in the reception office which identified local health and safety representatives."

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."

Neutral

"For example the practice actively identifies what it describes as ‘off radar’ elderly patients at the informal daily practice meeting and monthly MultiDisciplinary Team MDT meetings."