What is the Quality of Facilities at The Colliery Practice

Positive

"Following a recent incident where a child had fallen from a small plastic chair in the play area the incident book was reviewed."

Positive

"Patients could be referred to for counselling or supported by the palliative care team if already known to the service."

Positive

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

Positive

"One of the nurse practitioners was the infection control clinical lead who liaised with the local infection prevention team to keep up to date with best practice."

Positive

"One of the practice nurses was due to attend a course in asthma care and other had expressed an interest in training to become a nurse practitioner."

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

"• The practice cohosted a number of services including a monthly epilepsy outreach clinic led by a specialist nurse audiology and hearing aid provision and ultrasound scanning."

Positive

"• Three female nurse practitioners three female practice nurses one female health care assistant and two female phlebotomists."

Positive

"We spoke with a range of staff including the GPs the nurse practitioner a practice nurse a health care assistant the practice manager and members of reception and administration staff during our inspection."

Neutral

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

Neutral

"The practice had reviewed the needs of the practice following the retirement of a full time practice nurse and identified that additional phlebotomy blood taking services were required."

Neutral

"As a consequence a part time practice nurse and part time phlebotomist had been recruited."

Neutral

"• The nurse practitioners were members of the locality nurse prescribers’ forum and attended meetings every three months."

Neutral

"A nurse practitioner reviewed all patients on the hospital admission avoidance register following an admission to hospital and if required carried out a home visit or invited them for an appointment."

Neutral

"The network had looked at how to up skill nurses student nurse training physician associates and apprentices."

Neutral

"One of the nurse practitioners had completed a mentor course and the practice was working with the University of Wolverhampton to become a training placement for student nurses."

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

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

Positive

"The PPG had also suggested increased car parking at the branch practice and this had been implemented."

Neutral

"As a consequence the Huntington branch was being extended to provide three additional consulting rooms a treatment room sluice area office staff room meeting room and additional car parking space."

Positive

"There was a health and safety policy available with a poster in the staff room 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."

Neutral

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

Positive

"The practice carried out regular medicines audits with the support of the local Clinical Commissioning Group medicine management team to ensure prescribing was in line with best practice guidelines for safe prescribing."

Neutral

"One completed audit looked at patients with overactive bladder syndrome who were prescribed a particular medicine mirabegron."