What is the Quality of Facilities at OHP-Leach Heath Medical Centre

Positive

"• The practice did not have effective systems in place for monitoring the premises to ensure they were safe."

Positive

"• Staff encouraged and supported patients to be involved in monitoring and managing their health."

Positive

"• Although the premises appeared well maintained the practice did not have effective systems in place for managing and monitoring the safety of the premises."

Positive

"The practice did not have a clear system for identifying core training and monitoring this to ensure staff were up to date with their training requirements."

Positive

"• The practice offered in house services for the convenience of patients to support in the diagnosis and monitoring of long term conditions."

Positive

"• The practice did not have effective systems and processes for managing and monitoring risks in relation to health and safety and the premises."

Positive

"We found a lack of systematic processes in place for logging and monitoring maintenance issues to ensure they were completed in a timely way."

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

"For example we saw evidence that patients on high risk medicines that required regular monitoring were appropriately monitored and followed up."

Neutral

"We also saw yearly monitoring audits for minor surgery and for the fitting of intra uterine devices."

Neutral

"• The practice was implementing new IT systems as part of the Our Health Partnership which once embedded should facilitate the monitoring of staff training incidents and complaints and for ensuring action against safety alerts."

Neutral

"In particular: • The practice did not have systems in place for monitoring and demonstrating that where relevant staff registration with relevant professional bodies was up to date."

Positive

"• The practice did not have effective systems and processes for managing and monitoring risks in relation to health and safety and the premises."

Positive

"The practice was aware of these concerns and an external health and safety assessment had recently been completed that had identified actions the provider needed to complete."

Neutral

"For example in relation to aspects of health and safety management of complaints and for supporting and managing staff."

Positive

"People whose circumstances make them vulnerable: • Practice staff were currently participating in the gold standard framework accreditation training scheme to support improvements in end of life care for example through earlier detection and support of those who may need palliative care."

Positive

"• Regular multidisciplinary team meetings were held with district nurses palliative care nurses and health visitors to discuss and plan the care of some of the practices most vulnerable patients including those with end of life care needs."

Positive

"• The practice supported national priorities and initiatives to improve the population’s health for example stop smoking campaigns vaccination programmes and national cancer screening programmes."

Positive

"Data available on the uptake of breast and bowel cancer screening programmes for eligible patients was in line with local and national averages."

Neutral

"• At the time of inspection the next available appointment with a GP was within three working days and the practice nurse nine working days."

Positive

"Practice leaders had established policies procedures and activities to ensure safety and for the running of the service but did not have effective systems to assure themselves that they were operating as intended."

Positive

"People whose circumstances make them vulnerable: • Practice staff were currently participating in the gold standard framework accreditation training scheme to support improvements in end of life care for example through earlier detection and support of those who may need palliative care."

Positive

"• Regular multidisciplinary team meetings were held with district nurses palliative care nurses and health visitors to discuss and plan the care of some of the practices most vulnerable patients including those with end of life care needs."

Neutral

"A GMS contract ensures practices provide essential services for people who are sick as well as for example chronic disease management and end of life care and is a nationally agreed contract."

Neutral

"There were three full cycle audits relating to end of life care the identification of at risk patients and the management of patients with atrial fibrillation."

Positive

"However the clinical audit relating to the management of atrial fibrillation showed minimal improvement between the baseline and reaudit."

Positive

"The practice had made use of clinical audit and to improve services and acted on incidents complaints and safety alerts."

Positive

"The practice appeared visibly clean and tidy cleaning schedules were in place and completed by cleaning staff."

Positive

"Exception reporting is the removal of patients from QOF calculations where for example the patients decline or do not respond to invitations to attend a review of their condition or when a medicine is not appropriate."

Positive

"We identified one medicine recommended for emergencies that was not stocked available and no risk assessment in place as to the course of action should it be required."

Neutral

"• The practice carried out regular medicine reviews of newly pregnant women on longterm medicines."