What is the Quality of Facilities at Modality Hillcrest Surgery

Positive

"Patients with palliative care needs were reviewed at a monthly multidisciplinary team meeting and their care plans were updated and shared with relevant organisations to ensure continuity of care."

Positive

"Multidisciplinary meetings took place every six to eight weeks to review patients on the practice’s palliative care register."

Neutral

"Carers for patients on the palliative register were signposted to support groups in the local area including one of the local hospices and the carers’ emergency response service."

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 quarterly meeting was facilitated with the community psychiatrist nurse to discuss the care of patients with mental health needs."

Neutral

"For example the diabetes specialist nurse facilitated regular clinics and patients had access to cardiology and dermatology clinics at the provider’s associated practices."

Neutral

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

Neutral

"The practice staffing consists of two male GP partners plus five salaried GPs a pharmacist a physician associate an advance nurse practitioner three nurses and two healthcare assistants."

Neutral

"• The diabetes specialist nurse facilitated a regular clinic to review patients with complex needs."

Neutral

"For example in addition to GP appointments patients had access to appointments with a pharmacist an advance nurse practitioner and a physician associate."

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."

Positive

"• Medicines were mostly well managed and the monitoring of a specific highrisk medicine was strengthened because of the inspection findings."

Positive

"• The systems in place for monitoring patients prescribed highrisk medicines were mostly effective."

Positive

"We also received written assurances to confirm discussions had taken place with practice staff and additional improvements had been made to strengthen the monitoring systems."

Positive

"For example patients had access to ambulatory blood pressure monitoring phlebotomy insulin initiation and spirometry a simple test used to help diagnose and monitor certain lung condition."

Positive

"• Ensure changes made to monitoring of patients on high risk medicines are embedded."

Positive

"This included the suitability of equipment monitoring of fire safety measures and arrangements for dealing with medical and site related emergencies."

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

"• There were cleaning schedules and monitoring systems in place."

Positive

"Records reviewed showed the practice staff were actively engaged in activities to monitor and improve quality and outcomes; and this included regular meetings to review progress on QOF performance."

Positive

"• The care and treatment of older patients including those receiving end of life care reflected current evidencebased practice."

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."

Positive

"• Practice staff received ongoing support in the form of onetoone meetings coaching and mentoring clinical supervision and support for revalidating GPs and nurses."

Positive

"• The provider had a process in place for clinical leadership development and progression."

Positive

"• One of the practice nurses was the infection prevention and control IPC clinical lead who liaised with the local infection prevention teams to keep up to date with best practice."

Neutral

"• There were cleaning schedules and monitoring systems in place."

Positive

"• Medicines were mostly well managed and the monitoring of a specific highrisk medicine was strengthened because of the inspection findings."