What is the Quality of Facilities at Beehive Surgery

Neutral

"This included one of the two GP partners the locum practice nurse and the locum practice manager leaving."

Neutral

"The practice has advertised for a new practice nurse and they will also recruit a new practice manager."

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

"However there was no evidence that the practice nurse or the locum practice manager who had carried out the IPC audit had been trained."

Neutral

"There is also a locum practice manager a locum practice nurse and a healthcare assistant."

Neutral

"Evidence that the practice nurse had medical indemnity insurance had not been sought."

Positive

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

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

"• There were arrangements for planning and monitoring the number and mix of staff needed."

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."

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 Procedures for assessing monitoring and managing risks to patient and staff safety were not robust. . • The practice manager told us the locum practice manager had responsibility for health and 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

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

Positive

"There were monthly palliative care meetings and GPs regularly visited patients on the palliative care register to ensure their care plans were up to date."

Positive

"There were monthly multidisciplinary team palliative care meetings following which care plans were updated."

Positive

"• Regular palliative care meetings took place with a multidisciplinary team."

Positive

"We saw that the palliative care register was updated after these meetings."

Neutral

"For example they had recently talked about bowel cancer screening and they planned to show the PPG the testing kit at the next meeting to further promote screening."

Neutral

"A stair lift is available."

Neutral

"A stair lift was available."

Neutral

"A stair lift was available."

Neutral

"• There was a stair lift available for patients."

Positive

"• Practice leaders had established proper policies procedures and activities to ensure safety and assured themselves that they were operating as intended."

Positive

"The practice is registered to deliver the regulated activities of diagnostic and screening procedures family planning maternity and midwifery services surgical procedures and treatment of disease disorder or injury."

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

"The practice ensured that end of life care was delivered in a coordinated way which took into account the needs of different patients."

Positive

"This included an induction process onetoone meetings appraisals coaching and mentoring clinical supervision and support for revalidation."

Positive

"• A health and safety risk assessment had been carried out."

Positive

"They did not carry our formal regular health and safety checks."

Positive

"The registered persons had not done all that was reasonably practicable to mitigate risks to the health and safety of service users receiving care and treatment."

Positive

"The practice learned from external safety events as well as patient and medicine safety alerts."

Positive

"GPs received medicine alerts and we saw evidence that searches were carried out following medicine alerts being received and appropriate action taken."

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

"There was no system to manage medicine reviews and medicines were not stored securely."

Neutral

"A pharmacist from the clinical commissioning group CCG attended weekly and carried out medicine reviews."

Neutral

"• A pharmacist attended the practice weekly to carry out medicine reviews."

Positive

"However this was difficult to monitor as not all medicine reviews were correctly coded in the system."

Positive

"In particular: there was no system to monitor medicine reviews and the care of patients with long term conditions."

Neutral

"• The practice carried out medicine reviews for older patients but these were not always correctly coded."

Neutral

"• The majority of patients had received a medicine review."

Neutral

"For example clinicians were unable to provide documentation to support the completion of medicine reviews for patients with long term condition."

Positive

"• One of the GP partners was the infection prevention and control IPC lead although the practice manager and locum practice manager had day to day responsibility for IPC."

Neutral

"There were cleaning schedules in place."

Positive

"• Patients requiring help with drug or alcohol dependency were referred to an external service."