What is the Quality of Facilities at Padiham Group Practice

Positive

"For example a diabetes team had been set up and had agreed to implement a joint doctor and nurse diabetes clinic to support patients with complex diabetes care needs."

Positive

"• The practice was aware that there were aspects of diabetes care management which required improvement had introduced a diabetes clinical group and planned to introduce joint GP and nurse clinics for patients with complex diabetes."

Positive

"The team reviewed diabetes care and planned to introduce joint GP and nurse clinics to provide additional care for patients who have complex diabetes."

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

"A plan was in place to offer a joint GP and nurse diabetes clinic for complex diabetes care."

Positive

"Smoking cessation advice was available from a local support group and the practice worked closely with the local substance misuse service including offering joint clinics with the substance misuse nurse for patients prescribed substitute medication."

Positive

"The practice offered a weekly baby clinic which was facilitated by a GP and practice nurse and the midwives used a room in the practice to support pregnant women."

Positive

"• The practice offered a weekly one stop baby clinic where the GP and practice nurse were both present."

Positive

"The practice nurse was the infection prevention and control IPC clinical lead who liaised with the Clinical Commissioning Group CCG IPC teams to keep up to date Are services safe?"

Neutral

"During our visit we spoke with a range of staff including five GPs one nurse practitioner the practice manager deputy practice manager reception manager and reception and administrative staff as well as five patients two of whom were members of the patient participation group PPG."

Neutral

"Both nurse practitioners had qualified as a nonmedical Independent Prescribers and could therefore prescribe medicines for specific clinical conditions."

Positive

"• Whilst many risks to patients were assessed and well managed some checks had not been undertaken such as legionella risk assessment and monitoring of cleaning."

Positive

"Management monitoring and improving outcomes for people The practice used information collected for the Quality and Outcomes Framework QOF and performance against national screening programmes to monitor outcomes for patients."

Positive

"• Improve the recording and monitoring of staff training to demonstrate that all staff are in date with mandatory training and specialist skills training."

Positive

"• Arrangements were in place for planning and monitoring the number of staff and mix of staff needed Are services 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

"Due to the flood damage and ongoing building work there was no cleaning cupboard or supplies on site and contracted cleaning staff bought cleaning materials in each day."

Neutral

"There was a cleaning schedule within the contract for the cleaning contractors though we did not see evidence of checks being made that cleaning was carried out in line with the schedule."

Positive

"The practice had a chair lift to the first floor but access to this had to be restricted during the refurbishment works."

Positive

"• There were disabled facilities and translation services available and interim measures had been put into place during the restoration of the ground floor accommodation to support patients who required parking close to the practice building."

Positive

"The practice had a chair lift to the first floor but access to this had to be restricted during the refurbishment works."

Positive

"• Standard level disclosure and barring service checks DBS check required by law for certain professions working with vulnerable people had been obtained for practice nurses despite a local risk assessment which said enhanced DBS checks would be sought for nurses."

Positive

"• Continuous clinical audit and review was used to monitor quality and to make improvements."

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 which identified local health and safety representatives."

Positive

"Evidence did not demonstrate that mandatory training such as safeguarding infection prevention and control fire safety health and safety had been done by three new members of staff although confidentiality practice systems and chaperoning had been covered."

Neutral

"• Training records did not show staff had completed mandatory training modules such as infection prevention and control; information governance; health and safety and safeguarding in line with requirements."

Positive

"The practice nurse was the infection prevention and control IPC clinical lead who liaised with the Clinical Commissioning Group CCG IPC teams to keep up to date Are services safe?"

Positive

"Evidence did not demonstrate that mandatory training such as safeguarding infection prevention and control fire safety health and safety had been done by three new members of staff although confidentiality practice systems and chaperoning had been covered."

Positive

"All staff had completed basic life support although there was no evidence of infection prevention and control IPC training or information governance having been undertaken."

Positive

"• A range of projects facilitated by the Green dreams Project were supported by the practice to address issues and support social prescribing which was used holistically to reduce dependency on prescribed medication for a range of illhealth including anxiety related conditions."