What is the Quality of Facilities at Westbury-on-Trym Primary Care Centre

Positive

"The 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 and recorded the outcome of the assessment."

Positive

"For example the practice held a daily huddle meeting to review how best to meet demand; and offered an express service clinic offering on the day consultations with a nurse practitioner or nurse prescriber."

Neutral

"For example the practice offered an express service clinic offering on the day consultations with a nurse practitioner or nurse prescriber."

Neutral

"After reviewing the information a GP would offer a prescription and a receptionist would inform the patient; signpost them to an alternative service such as pharmacy; phone the patient; or book a face to face appointment."

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."

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 a system for monitoring repeat prescribing for people receiving medication for mental health needs."

Neutral

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

Positive

"The practice is on local bus routes and patients have access from the north and west areas of Bristol with parking on site including spaces for those with a disability."

Positive

"There were early and ongoing conversations with these patients about their end of life care as part of their wider treatment and care planning."

Positive

"The practice ensured that end of life care was delivered in a coordinated way using the Gold Standard Framework which took into account the needs of different people including those who may be vulnerable because of their circumstances."

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 with a poster in the reception office which identified local health and safety representatives."

Neutral

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

Positive

"We found some gaps in training records however the practice provided up to date records confirming that all staff had received appropriate training including infection prevention and control safeguarding children and adults basic life support and fire safety."

Positive

"For example eleven administrative staff had no record of training in infection prevention and control and update training was overdue for two nursing staff."

Neutral

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

Neutral

"We spoke to the practice who told us they would review training records and ensure all staff receive up to date training in safeguarding infection prevention and control and fire safety."