What is the Quality of Facilities at 3D Medical Centre

Positive

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

Positive

"For example the practice manager was responsible for health and safety and the practice nurse was responsible for infection control and travel immunisations."

Positive

"• The practice nurse 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."

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

"There is an advanced nurse practitioner two practice nurses and a health practitioner."

Neutral

"Telephone appointments were available daily with the nurse and GPs."

Neutral

"During our visit we: • Spoke with a range of staff including one of the GPs the practice manager the practice nurse and reception staff."

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

"The practice had a register of patients who required additional support such as vulnerable patients carers patients requiring drug monitoring patients with a learning disability military veterans deprivation of liberty safeguards DOLs patients’ with cancer and those receiving end of life care etc."

Positive

"Monitoring risks to patients There were procedures for assessing monitoring and managing risks to patient and staff safety."

Positive

"• The premises were clean and tidy and there were cleaning schedules and monitoring systems in place."

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

Positive

"Parking outside the practice is time limited although there is side street parking close by."

Neutral

"There are public transport links close to the practice."

Positive

"• There was a small lift at the front entrance to help patients who could not manage the stairs there was wheelchair access and leaflets were printed in large font for patients who were partially sighted."

Neutral

"There are public transport links close to the practice."

Positive

"For example there was a hearing loop for patients with hearing difficulties and a lowlevel desk in the reception area to allow wheelchair users easy access to reception."

Positive

"• There was a small lift at the front entrance to help patients who could not manage the stairs there was wheelchair access and leaflets were printed in large font for patients who were partially sighted."

Positive

"The practice had a register of patients who required additional support such as vulnerable patients carers patients requiring drug monitoring patients with a learning disability military veterans deprivation of liberty safeguards DOLs patients’ with cancer and those receiving end of life care etc."

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

"• Opportunistic screening of patients physical health care was discussed and provided to patients during prebooked appointments • The ‘Single Point of Access’ accepted nonurgent referrals and urgent referrals for patients in crisis."

Positive

"This included ongoing support onetoone meetings clinical supervision and facilitation and support for revalidating GPs and nurses."

Positive

"For example the practice manager was responsible for health and safety and the practice nurse was responsible for infection control and travel immunisations."

Positive

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

Positive

"The practice manager was the lead member of staff for managing health and safety at the practice."

Neutral

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

Positive

"• The practice nurse 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

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

Positive

"• The premises were clean and tidy and there were cleaning schedules and monitoring systems in place."