What is the Quality of Facilities at Woodbank Surgery

Neutral

"The PPG met regularly and had recently appointed a new chair person."

Positive

"Individual GPs had specialist areas of interest such as palliative care cancer and dementia care."

Positive

"• The practice identified at an early stage older patients who may need palliative care as they were approaching the end of life."

Positive

"For example the practice nurse was responsible for infection control the practice manager was responsible for health and safety and one of the GPs was responsible for safeguarding."

Positive

"There is one senior practice nurse one advanced nurse practitioner a health care assistant all female and a locum pharmacist male."

Positive

"The practice nurse was the infection prevention and control IPC 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

"During our visit we: • Spoke with a range of staff including the practice manager the area manager three GPs one was also the medical director two reception staff the advanced nurse practitioner and the practice nurse."

Neutral

"The team included a GP specialist adviser a GP specialist advisor completing induction training with the CQC a second CQC inspector and a practice nurse specialist adviser."

Neutral

"Information held about locum staff such as the pharmacist and advanced nurse practitioner were unavailable on the day of the inspection."

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

"Monitoring risks to patients There were procedures for assessing monitoring and managing risks to patient and staff safety."

Positive

"This would make it difficult to enable good communication and monitoring ongoing issues."

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 patients receiving medicines for mental health needs."

Neutral

"There were cleaning schedules and monitoring systems in place."

Neutral

"• There were arrangements for planning and monitoring the number of staff and mix of staff needed to meet patients’ needs."

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."

Neutral

"The practice told us 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."

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 and nurses."

Positive

"For example the practice nurse was responsible for infection control the practice manager was responsible for health and safety and one of the GPs was responsible for safeguarding."

Positive

"• There was a health and safety policy and checklist available although a risk assessment had not been completed."

Neutral

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

Positive

"The practice nurse was the infection prevention and control IPC clinical lead who liaised with the local infection prevention teams to keep up to date with best practice."

Neutral

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

Neutral

"There were cleaning schedules and monitoring systems in place."

Positive

"For example the way in which staff managed a verbal complaint about a delayed diagnosis of cancer and that GPs had not recorded the purchase date of a medicine that required specific storage conditions although it was noted that this medicine was stored correctly at the time."

Positive

"• While the practice had clearly defined and embedded systems processes and practices to minimise risks to patient safety we found one medicine was not stored safely."