What is the Quality of Facilities at Winshill Medical Centre

Positive

"For example the practice held meetings with the professionals involved in the care of patients receiving palliative care."

Positive

"Multidisciplinary team meetings to discuss patients on the practice palliative care register normally took place monthly and were chaired by a GP."

Positive

"Data for other cancer screening indicators such as bowel cancer were below local and national averages."

Positive

"• The practice nurse had a lead role in chronic disease management and patients at risk of hospital admission were identified as a priority."

Positive

"• The named GP and practice nurse worked with relevant healthcare professionals to deliver a multidisciplinary package of care to patients with complex needs."

Positive

"The GPs and practice nurse had all completed clinical specific training updates to support annual appraisals and revalidation."

Positive

"The practice’s computer system alerted the GPs and nurse if a patient was also a carer and patients were offered a flu vaccination and health checks."

Positive

"The GPs and a nurse we spoke with could clearly outline the rationale for their approaches to treatment."

Neutral

"• The practice offered contraceptive services and the nurse provided condoms to patients and chlamydia testing kits."

Neutral

"During our visit we: • Spoke with a range of staff including a GP practice nurse practice manager administration staff and spoke with patients who used the service."

Neutral

"The GP partners were trained to safeguarding level three and the practice nurse was trained to safeguarding level two."

Neutral

"The practice nurse was the clinical lead for infection control."

Positive

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

Positive

"Records showed that ongoing monitoring of events had taken place to ensure that systems put in place were appropriate."

Positive

"• The arrangements for managing repeat prescriptions for high risk medicines that required monitoring were consistently followed."

Positive

"For example we saw that a medicine that required regular tests and monitoring of the dose to be taken was on an acute prescription so each medication request required approval from a GP."

Positive

"The practice had a formal system in place for the ongoing monitoring of significant events incidents and accidents."

Positive

"The practice had 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

"Ongoing monitoring was demonstrated by minutes of meetings where actions taken were reviewed."

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 has good transport links for patients travelling by public transport and parking facilities are available for patients travelling by car."

Positive

"The practice has good transport links for patients travelling by public transport and parking facilities are available for patients travelling by car."

Positive

"The practice has good transport links for patients travelling by public transport and parking facilities are available for patients travelling by car."

Positive

"All areas within the practice are accessible by patients who use a wheelchair or parents with a pushchair."

Positive

"• There was an appointed lead for health and safety and some risks to patients and staff were assessed and identified actions completed."

Positive

"Minutes of practice meetings showed that health and safety was discussed when required."

Positive

"The poster identified the named health and safety lead at the practice."

Positive

"Topics on the agenda included day to day operation of the practice health and safety QOF and other governance arrangements."

Neutral

"However there was no recorded log of all risks and the health and safety lead had not completed additional training appropriate to the role."

Neutral

"The practice had a health and safety policy available and the mandatory poster was displayed in the reception area."

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."

Positive

"There were cleaning schedules in place and cleaning records and standards were reviewed and problems reported to the cleaning supervisor."

Positive

"We were told that the cleaning contractor was responsible for emptying the clinical waste bins."

Positive

"For example we saw that a medicine that required regular tests and monitoring of the dose to be taken was on an acute prescription so each medication request required approval from a GP."

Positive

"Specific medicine directions Patient Group Directions for the practice nurses were adopted by the practice to allow the practice nurses to administer specific medicines in line with legislation."