What is the Quality of Facilities at Bewdley Medical Centre

Neutral

"• A GP was the chair of the WFHP and another GP was a member of the Local Medical Committee so the practice was kept informed of issues both within the WFHP and in the local area."

Positive

"• The lead GP for palliative care had regular meetings with secondary care services and the local palliative care consultant to develop care for these patients."

Positive

"For example the team work and morale evident during the move into the new premises and the continuity of care for a palliative care patient for which the family was very grateful."

Positive

"• The practice identified at an early stage older patients who may need palliative care as they were approaching the end of life."

Positive

"• Monthly multidisciplinary meetings were held to review all patients on the palliative care register."

Positive

"There were also regular palliative care meetings and referral review meetings."

Positive

"• GPs and an advanced nurse practitioner provided care and support for patients at local care homes."

Positive

"The GPs are supported by two pharmacists a site manager advanced nurse practitioners plus a visiting advanced nurse practitioner practice nurses health care assistants and reception and administrative teams."

Positive

"• A home visiting service supported by two GPs and an advanced nurse practitioner had been introduced for housebound patients."

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."

Positive

"A nominated GP was assigned to each care home and an advanced nurse practitioner also visited regularly."

Positive

"Requests were triaged by an advanced nurse practitioner who assessed whether the patient could be seen by an advanced nurse practitioner or by a GP."

Neutral

"The team included a GP specialist advisor and a practice nurse specialist advisor."

Neutral

"• A specialist nurse could carry out some minor surgery procedures which enabled GPs to see more patients."

Neutral

"For example two pharmacists were now employed at the practice and a specialist nurse was able to carry out some minor surgery procedures which enabled GPs to see more patients."

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

"Monitoring risks to patients There were procedures for assessing 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

"• The practice had a system for monitoring repeat prescribing for patients receiving medicines for mental health needs."

Neutral

"For example performance monitoring is done by WFHP staff."

Neutral

"A centralised system had been introduced whereby a WFHP task team was notified when a blood sample had been taken for monitoring so that the team could check blood test results to determine whether they were in the correct range in accordance with the protocol."

Neutral

"• There were arrangements for planning and monitoring the number of staff and mix of staff needed to meet patients’ needs."

Positive

"For example the practice had liaised with the local council to improve the provision of disabled parking outside the building."

Neutral

"There are disabled car parking spaces in front of the building and a public car park nearby."

Positive

"Alerts were logged on the practice’s internet based information storage system and a hard copy was placed in the folder in the staff room."

Neutral

"The plan was uploaded on to the internet based information storage system which meant that it could be viewed from any of the other sites in the WFHP."

Neutral

"The policies and protocols were stored on the internet based information storage system and were available to all staff."

Positive

"There were early and ongoing conversations with these patients about their end of life care as part of their wider treatment and care planning."

Neutral

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

Neutral

"For example patients receiving end of life care carers those at risk of developing a longterm condition and those requiring advice on their diet smoking and alcohol cessation."

Positive

"• There was a health and safety policy available."

Neutral

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

Neutral

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

Neutral

"We viewed the cleaning schedule and noted that there was a communication book in reception for messages for use by the cleaning staff and the practice."

Neutral

"For example an audit was carried out on patients who had been prescribed a medicine for osteoporosis brittle bones for more than five years so that they could be reassessed."