What is the Quality of Facilities at Dr Syed Hamdani

Positive

"There is also a practice nurse and two health care assistants."

Positive

"They are supported by one advanced nurse practioner one locum practice nursenurse prescriber two healthcare assistants five administrative staff and one practice manager."

Positive

"The GP told us they led in specialist clinical areas such as diabetes heart disease and asthma and the advanced nurse practioner supported this work which allowed the practice to focus on specific conditions."

Positive

"Health promotion and prevention It was practice policy to offer a health check with the health care assistant practice nurse to all new patients registering with the practice."

Positive

"There was also a named nurse responsible for following up patients who did not attend screening."

Positive

"The advanced nurse practioner offered ‘walkin’ appointments for patients with minor trauma."

Positive

"For example the advanced nurse practioner told us they received supervision from a hospital consultant for gynaecological conditions."

Positive

"The advanced nurse practioner held a diploma in gynaecology."

Positive

"We were told about a patient who had slipped on the ice and came into the surgery and their injury was treated in the practice by the advanced nurse practioner."

Neutral

"For example there was a lead nurse for infection control and the full time GP was the lead for safeguarding."

Positive

"• Staff encouraged and supported patients to be involved in monitoring and managing their own health for example through social prescribing schemes."

Positive

"• Arrangements were in place for planning and monitoring the number and mix of staff needed to meet patients’ needs including planning for holidays sickness busy periods and epidemics."

Positive

"People with suspected hypertension were offered ambulatory blood pressure monitoring and patients with atrial fibrillation were assessed for stroke risk and treated as appropriate."

Positive

"• Formalise their approach to the monitoring and follow up of patients with mental illness who do not attend for their appointments or collect medication to be assured that these patients are safe."

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 Staff across the practice had key roles in monitoring and improving outcomes for patients."

Positive

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

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

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

Neutral

"In addition the practice has onstreet parking available for patients immediately outside the premises."

Positive

"• The practice’s uptake for breast and bowel cancer screening was below the national average."

Positive

"• Staff were clear on their roles and accountabilities including in respect of safeguarding and infection prevention and control • Practice leaders had established policies procedures and activities to ensure safety and assured themselves that they were operating as intended."

Neutral

"We were shown the weekly schedule of activities available to patients which included walking groups swimming group younger peoples drop in centre weight management confidence building courses and an ante post natal drop in group."

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 held separate monthly palliative care and community integrated care team meetings to discuss the needs of complex patients for example those with end of life care needs or children on the at risk register."

Neutral

"This included one to one meetings appraisals coaching and mentoring clinical supervision and revalidation."

Neutral

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

Positive

"• Risk assessment activity was incomplete including health and safety premises and security."

Positive

"We did not see a premises or security assessment or a health and safety risk assessment."

Positive

"Health and safety information was displayed for staff to see and there was an identified health and safety representative."

Positive

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

Positive

"• Staff were clear on their roles and accountabilities including in respect of safeguarding and infection prevention and control • Practice leaders had established policies procedures and activities to ensure safety and assured themselves that they were operating as intended."

Positive

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

Positive

"We were shown an audit of patients taking a medicine for osteoporosis a condition that affects the bones causing them to become weak and fragile and more likely to break."

Positive

"Medicines management We checked medicines stored in the treatment rooms and medicine refrigerators and found they were stored securely and were only accessible to authorised staff."

Positive

"The GP told us after receiving an alert they would review the use of the medicine in question."

Neutral

"There was a Community Pharmacist who could visit patients at home to review their medicine if necessary."

Positive

"It had a palliative care register and had regular internal as well as multidisciplinary meetings to discuss the care and support needs of patients and their families."

Positive

"The practice held separate monthly palliative care and community integrated care team meetings to discuss the needs of complex patients for example those with end of life care needs or children on the at risk register."

Positive

"These meetings were attended by district nurses social workers palliative care nurses community staff and others."

Neutral

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

Positive

"A recent audit had identified the carpet in the waiting room should be removed to assist adequate cleaning of the area."

Neutral

"We saw there were cleaning schedules in place for the whole surgery but not for individual treatment areas."