What is the Quality of Facilities at Praze-An-Beeble Surgery

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

"Management monitoring and improving outcomes for people We saw evidence that clinical audits were now also being undertaken to drive improvement and improve patient outcomes."

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

"New standard operating procedures for monitoring the storage of medicines had been introduced this included dispensary staff overseeing medicines stored in refrigerators."

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

"• Ensure systems for monitoring medicines to ensure they are in date and stored in line with manufacturers guidelines."

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

"There was no programme of continuous clinical and internal audit to monitor quality or make improvements making monitoring patient outcomes difficult."

Neutral

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

Neutral

"Issues identified included governance arrangements for; • There was no programme of continuous clinical and internal audit to monitor quality or make improvements making monitoring patient outcomes difficult."

Neutral

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

Positive

"Staff were aware from meeting minutes that the patient was on the palliative care register so could respond promptly by passing the call to the relevant GP."

Positive

"These included meetings with health visitors mental health teams and palliative care nurses."

Positive

"For example following a breakdown in communication changes were made in the way medicine changes were communicated to other care providers."

Positive

"• Dispensary staff explained how they make sure that medicines do not go out of date but we found one bottle of an out of date medicine in an empty vaccine fridge."

Neutral

"A new medicines amendment form had been designed by the practice dispensary team and was checked by two staff members before being faxed as confirmation of all medicine changes made over the telephone."

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 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."