What is the Quality of Facilities at Deane Medical Centre

Positive

"Where appropriate patients were signposted to the most appropriate service and their healthcare needs could be met by the nurse if possible."

Positive

"Patients commented that the reception staff were very kind and said they were able to ask a nurse for help if it was required."

Positive

"We saw that these were checked by the advanced nurse practitioner to ensure they were available and within their expiry date."

Positive

"The practice manager and advanced nurse practitioner carried out daily checks on different areas of the practice to ensure everything was in order."

Positive

"All new patients were invited for a checkup with a nurse with a GP being involved if appropriate."

Positive

"The practice manager set up the first nurse practitioner forum for Bolton so nurses from other practices could meet up share ideas and complete practical training such as immunisations treating long term conditions and helping patients to stop smoking."

Positive

"• The nurse ran a drop in centre for students at the university."

Positive

"The practice ensures all necessary checks with the GP or nurse were arranged for the same appointment to avoid multiple visits to the practice."

Positive

"Also working at the practice is an advanced practitioner a nurse practitioner a practice nurse two healthcare assistants a practice manager and other administrative and reception staff."

Positive

"The advanced nurse practitioner was the lead for safeguarding and a GP and the practice manager acting as deputies."

Positive

"The practice nurse rotated medicines to ensure they were used in date order."

Positive

"The nurse held a drop in service once a week where students including those not registered at the practice could be signposted to other services or their own GP as appropriate."

Positive

"In addition the practice manager a qualified nurse had set up a nurse network where nurses from the area were invited to meetings to share ideas and complete practical training."

Neutral

"Dual appointments with the GP and nurse were arranged and the clinicians used a template to identify all health needs and issues."

Neutral

"The practice manager who was a trained nurse carried out the appraisals for nursing staff."

Neutral

"When a patient was invited for a mental health review this was a joint review with a GP and a nurse practitioner."

Neutral

"On occasions when there were no appointments available an advanced nurse practitioner telephoned the patient to assess their need."

Positive

"Learning and improvement from safety incidents The practice had a system in place for reporting recording and monitoring significant events."

Positive

"Management monitoring and improving outcomes for people The practice had a system in place for completing clinical audit cycles."

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

"We saw evidence that patients who required palliative care had care plans in place from an early stage that were regularly discussed and updated by the MDT."

Positive

"We saw there was a system in place to inform the out of hours if a patient was receiving palliative care and may need to be seen out of hours."

Neutral

"There was a private room available if patients wished to have a confidential discussion with a receptionist and a sign in the reception area informed patients of this."

Positive

"There was limited parking at the practice but there were dedicated parking for patients with mobility difficulties."

Positive

"Management monitoring and improving outcomes for people The practice had a system in place for completing clinical audit cycles."

Neutral

"The practice was making use of clinical audit tools clinical supervision and staff meetings to assess the performance of staff."

Neutral

"The practice had a system in place for completing clinical audit cycles."

Neutral

"The practice was making use of clinical audit tools clinical supervision and staff meetings to assess the performance of staff."

Positive

"The practice also had a health and safety policy."

Positive

"However they told us cleaning was carried out to a high standard and they spoke to the cleaner immediately if there was anything further than required attention."

Neutral

"We saw there was a cleaning schedule in place."

Neutral

"This detailed what cleaning would be carried out on a daily weekly monthly and less frequent basis."

Positive

"The practice was responsive when new advice was received and carried out medicine audits appropriately."

Positive

"Also medicine reviews were arranged at appropriate interval for patients who required regular medicines."

Positive

"Medicines management There were clear systems in place for medicine management."

Neutral

"If patients required medicines on a repeat prescription these were reauthorised by a GP at least once a year following a medicine review."

Neutral

"Evidence was seen of medicine audits being carried out."

Neutral

"We saw evidence that changes to medicine prescribing were made when required."