What is the Quality of Facilities at Schopwick Surgery

Positive

"This included through the adoption of the standards of the national Gold Standard Framework for palliative care the development of an innovative housebound care protocol and a range of services for carers."

Positive

"This assessed the practice’s performance against key palliative care criteria including the use of a palliative care register adherence to the Gold Standard Framework and the use of advance care planning."

Positive

"This included leading regular multidisciplinary gold standard planning meetings providing anticipatory care plans and discussing do not attempt resuscitation decisions with the community palliative care team."

Positive

"• The practice facilitated multidisciplinary palliative care that included advance care planning in line with the national Gold Standard Framework."

Positive

"• The practice was proactive in providing palliative care and support for patients."

Positive

"This included direct support from the palliative care lead GP."

Positive

"• An electronic notification system was in place for patients who needed an urgent palliative care referral."

Neutral

"We saw an example of clearly coordinated care between the palliative care lead and the hospice at home team that enabled a patient to die at home when their condition deteriorated rapidly."

Positive

"The lead practice nurse was the infection control 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 using a fourstep process and recorded the outcome of the assessment."

Positive

"The lead nurse monitored temperature recording of the fridges to ensure they maintained a temperature within medicine manufacturers’ safe guidelines."

Positive

"The lead nurse documented weekly safety checks to emergency equipment."

Neutral

"For example the practice manager led SE investigations that applied to the nonclinical team an SE lead GP led investigations for incidents related to doctors and the nurse lead led SE investigations for nursing staff."

Neutral

"Patients were invited to a consultation with a practice nurse for lifestyle advice and offered an annual blood glucose test."

Positive

"• Two GPs and a receptionist provided dedicated support to local nursing homes that included sameday appointments and continuity of care."

Positive

"• Clinical audits and benchmarking exercises demonstrated quality monitoring and improvement."

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 improved prescribing systems and patient monitoring for people who needed warfarin as a result of an audit."

Positive

"• Medicines management processes were in place including repeat prescription monitoring emergency drugs checking and a safety alerts protocol."

Positive

"• There were procedures in place for monitoring and managing risks to patient and staff 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

"The practice had two fridges for vaccines and chilled medicine and both had digital temperature monitoring devices."

Neutral

"• Arrangements were in place for planning and monitoring the number of staff and mix of staff needed to meet patients’ needs."

Positive

"This meant the group had access to shared learning and strategy events as a way to share best practice and learn from activities elsewhere in the area."

Positive

"We looked at examples of this in practice and saw it meant patients with urgent needs relating to end of life care received ondemand specialist input care planning and pain relief."

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

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

Positive

"There was a health and safety policy available and a designated health and safety lead was in post."

Neutral

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

Neutral

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

Neutral

"For example the healthcare assistant contacted all elderly patients who had been discharged from hospital within three days."

Positive

"This included a weekly meeting to review changes to guidance from NICE and medicine alerts and recalls issued by the Medicines and Healthcare Products Regulatory Agency."

Positive

"The lead nurse monitored temperature recording of the fridges to ensure they maintained a temperature within medicine manufacturers’ safe guidelines."

Positive

"For example a patient with heart failure was prescribed anticipatory medicine and there was documented evidence of a discussion between clinical staff the patient and their family."

Positive

"• In response to an increasing number of patients with musculoskeletal problems the practice established sports and exercise medicine appointments inhouse."

Neutral

"For example following a prescription error new medicines management and safety processes were implemented to ensure patients always received the correct medicine at the correct dose."

Neutral

"The practice had two fridges for vaccines and chilled medicine and both had digital temperature monitoring devices."