What is the Quality of Facilities at Berkeley Place 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

"In addition there is one lead nurse one practice nurse and one health care assistant employed."

Positive

"To address this issue the practice have appointed the lead nurse to oversee and administer all audits to ensure that these are completed as a matter of routine."

Positive

"• The practice was proactive in ensuring that vulnerable patients who did not attend their scheduled appointments were visited by the practice nurse assessed and if necessary booked for a same day appointment at the practice."

Positive

"• A specialist mental health nurse from a mental health trust ran a weekly clinic for patients in the practice who needed this service."

Neutral

"All GPs and the lead nurse were trained to safeguarding level three and the practice manager and other nonclinical staff were either trained to level one or level two."

Neutral

"A lead nurse was the infection control lead who liaised with the local infection prevention teams to keep uptodate with current practice."

Neutral

"For example by accessing online resources and discussion at practice nurse meetings."

Neutral

"• Staff told us that partners meetings and meetings with the lead nurse and lead receptionist were held weekly and clinical team meetings daily."

Neutral

"• A practice receptionist acted as ‘Carers Champion’."

Neutral

"• Staff told us that partners meetings and meetings with the lead nurse and lead receptionist were held weekly and clinical team meetings daily."

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 practice recruited patients for a volunteer car service due to poor transport links to enable more physically impaired patients to attend the surgery."

Positive

"• The practiced worked closely with local services including a homeless shelter and volunteer transport schemes."

Positive

"• The practice worked closely with local services including a homeless shelter and volunteer transport schemes."

Positive

"The practice does not have a passenger lift due to restrictions on the modification of listed buildings but arrangements were in place to see patients with limited mobility on the ground floor."

Neutral

"When we spoke to the practice they explained that the building’s Grade IIlisted status made the cost of installing a lift prohibitive."

Positive

"• We saw evidence that the practice was working to the Gold Standards Framework for those patients with end of life care needs."

Positive

"This included ongoing support during sessions onetoone meetings appraisals coaching and mentoring clinical supervision and facilitation and support for revalidating GPs."

Positive

"The clinicians are supported by a practice manager a deputy practice manager a pharmacy advisor a secretary and a team of notes summarisers administrative staff with some clinical training who transfer hard copies of patient’s notes onto the practice’s electronic data system and receptionists."

Positive

"There was a health and safety policy available in the practice manager’s room which identified local health and safety representatives."

Neutral

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

Neutral

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

Positive

"The audit showed that in the vast majority of cases patients who were started on the medicine were appropriately monitored as per the accepted prescribing guidelines."

Positive

"For example the practice undertook an audit to identify those patients who had been prescribed a medicine used to treat superficial fungal infections of the skin and nails and to review the clinical advice documented."