What is the Quality of Facilities at The Family Practice

Positive

"• The practice had a focus on providing mental health support to people with mild and moderate depression with facilitating counselling services IRIS domestic violence counselling access to a mental health nurse each day and involvement with external mental health teams."

Neutral

"• The nurse clinics were flexible to patients’ needs and were able to combine activities in one visit such as a blood test with regular health screening for a long term condition."

Neutral

"• The practice was participating in a pilot with a mental health nurse available in the practice on a daily basis."

Neutral

"The team included a GP specialist adviser and a practice nurse specialist adviser."

Neutral

"They have one nurse practitioner three practice nurses and three healthcare assistants."

Neutral

"One of the nurses had qualified as a Nurse Practitioner and could therefore prescribe medicines for specific clinical conditions."

Neutral

"One nurse was just completing an insulin adjustment course."

Positive

"The practice staff identified the shortfalls in the monitoring and follow up processes for patients and had updated how they recorded information on a patient care plan template and improved their call and recall system to ensure patients were screening and checked appropriately."

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

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

Positive

"For example following NICE guidance recent action taken as a result included the identification and ongoing monitoring of women flagged as acquiring gestational during pregnancy diabetes who were at a higher risk of developing diabetes in the future."

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

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

Neutral

"The PPG had made observations about confidentiality in the reception area and they had been involved in trials and monitoring of changes made to answering telephones away from this area to minimise conversations being overheard."

Positive

"• The practice facilities did not meet good practice guidance as there were constraints because of being a listed building on providing appropriate door opening mechanisms and no lift to the first floor to support patient independence."

Positive

"However there were constraints because of being a listed building on providing appropriate door opening mechanisms and no lift to the first floor to support patient independence."

Positive

"There is no lift to the first floor."

Neutral

"• The nurse clinics were flexible to patients’ needs and were able to combine activities in one visit such as a blood test with regular health screening for a long term condition."

Positive

"We noted team training days and engaged in social activities and events to support team building."

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 and smoking 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 with a poster in a prominent place for staff which identified local health and safety representatives."

Positive

"Minor changes to the health and safety policy were required to ensure it met with current practices for example the practice no longer kept liquid nitrogen on the premises."

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

"However we found that COSHH data sheets regarding the cleaning products used at the practice were not stored as routine with the products as per guidance."

Positive

"The association had a volunteer driving service as well as a weekly lunch club which was held in a local community building which provided to meet the social needs of their elderly and isolated patients."

Neutral

"• The patient participation group patients association who provided a volunteer service to meet the social and emotional needs of the elderly housebound patients by providing a volunteer driving service and a Monday lunch club."