What is the Quality of Facilities at The Seven Dials Medical Centre

Positive

"This particularly included the assessment monitoring and improving quality and safety in relation to areas covered in the Quality Outcome Framework and the use of Patient Specific Directions."

Positive

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

Positive

"The service provider was not adequately monitoring or assessing how they would improve their Quality Outcome Framework results and as a result were below average."

Positive

"Up to date records of skills qualifications and training were maintained although the practice recognised that the monitoring and recording of the training could be more structured and were working on improving this."

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

"• Continue to implement a more structured system of monitoring and recording of staff training."

Neutral

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

Neutral

"This was the practices main method of monitoring the review and assessment of patients with chronic conditions."

Positive

"Management monitoring and improving outcomes for people The practice participated in the Quality and Outcomes Framework QOF."

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."

Positive

"• The practice held regular meetings with the multi disciplinary team MDT to discuss and manage the needs of palliative care patients and those with complex medical issues."

Positive

"Specific staff had been trained to offer support and advice to patients in areas such as palliative care."

Positive

"• The practice had a GP and nurse that lead for the Serious Mental Illness service and a liaison nurse from the local trust also attended the surgery to carry out mental health reviews and plans with the mental health lead GP."

Positive

"Where a patient’s mental capacity to consent to care or treatment was unclear the GP or nurse assessed the patient’s capacity and where appropriate recorded the outcome of the assessment."

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

"Managing risks issues and performance There were processes for managing risks issues and performance although that for managing PSDs required revision and the risk assessment for the provision of medicines for use in a medical emergency had not identified and mitigated all potential risk."

Positive

"The areas where the provider should make improvements are: • Carry out a risk assessment of the provision of medicines for use in a medical emergency that identifies and mitigates all potential risk."

Positive

"• Practice leaders had established proper policies procedures and activities to ensure safety."

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

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

Positive

"This included ongoing support during sessions onetoone meetings appraisals coaching and mentoring clinical supervision and facilitation and support for the revalidation of doctors."

Positive

"The only exception was that there was no record of cleaning of the ear irrigator although the staff member who used this assured us that they cleaned it before and after use."

Neutral

"• Review the recording of cleaning of clinical instruments."

Positive

"The practice in conjunction with other local practices employed a pharmacist who reviewed the medication of the elderly visited them and took calls to help with their medication."

Positive

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

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

"When this was pointed out the practice immediately reviewed their procedures to ensure that the direction was issued and signed in advance of the medicine being given."

Neutral

"When we reviewed PSDs we noted that in some situations the directions were being signed after the medicine had been administered which is not in line with regulations."

Positive

"For example a medicine error was discovered and dealt with appropriately and the records we saw indicated that this incident and the actions to ensure a repeat occurrence was avoided had been shared with the relevant team members."

Neutral

"All patients in this practice had a named GP and a structured annual review to check that their health and medicine needs were being met."

Positive

"There was a health and safety policy available with a poster in the reception office."

Neutral

"• The practice had an induction programme for newly appointed clinical and nonclinical members of staff that covered such topics as safeguarding fire safety health and safety and confidentiality."