What is the Quality of Facilities at The Chorley Surgery

Positive

"The palliative nursing care team held a clinic at the practice one advance nurse practitioner maintained regular contact with the health visiting team and local charitable organisations were invited to the practice to provide support and signposting to the practice patients."

Positive

"For example following a request from the practice the palliative care team now held regularly palliative care clinics at the practice."

Positive

"At the practice s request the palliative care team held regular palliative care clinics for the practice patients at The Chorley Surgery."

Positive

"• At the practice s request the palliative care team held regular palliative care clinics for the practice patients at The Chorley Surgery."

Positive

"• Practice patients could attend their palliative care appointments at the practice."

Positive

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

Positive

"The practice held quarterly meetings with the palliative care team."

Positive

"Meetings with external professionals included the palliative care and safeguarding teams the extended multi –disciplinary team meetings and the PCUST meeting."

Neutral

"Regular participants at these meetings included the community matron the palliative care team representatives from the local fire police drug and alcohol mental health and social work teams."

Positive

"• The practice had a designated cancer champion who was responsible for reviewing and monitoring patients who were eligible for cancer screening tests."

Positive

"The practice had a staff member who was also the practice ‘Cancer Champion’ and they worked to encourage patients to undertake the available cancer screening tests."

Positive

"The palliative nursing care team held a clinic at the practice one advance nurse practitioner maintained regular contact with the health visiting team and local charitable organisations were invited to the practice to provide support and signposting to the practice patients."

Positive

"• One of the practice’s advanced nurse practitioners liaised regularly with the health visitors to ensure information was shared effectively."

Positive

"The practice employs a clinical team that includes one salaried GP one long term locum GP two advanced nurse practitioners two practice nurses and one health care assistant due to start employment in September."

Positive

"• One practice nurse who was the designated lead for infection prevention and control IPC liaised with the local infection prevention teams to keep up to date with best practice."

Positive

"• Records were available that showed the advanced nurse practitioners received fortnightly mentoring meetings Are services effective?"

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 both GP partners the business manager a practice nurse both operational managers the practice secretaries the administration officer Carer’s and Dementia Champion and a receptionist."

Positive

"Internal meetings included clinical team business protected education meetings advance nurse practitioner mentoring meetings and safeguarding meetings."

Neutral

"The practice also opened alternate Saturday mornings and offered both GP and practice nurse appointments."

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

"• The practice had a designated cancer champion who was responsible for reviewing and monitoring patients who were eligible for cancer screening tests."

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."

Neutral

"• Arrangements for identifying recording and managing risks issues and implementing mitigating actions were effectively established and this included monitoring Are services wellled?"

Positive

"Following a successful bid to the transformation fund the practice has installed a passenger lift and refurbished the first floor of the building and this will be used to provide local space to health and wellbeing groups for the local population."

Neutral

"This included a passenger lift to assist those with mobility issues."

Positive

"Supporting patients to live healthier lives Patients receiving end of life care carers those at risk of developing a longterm condition and those requiring advice on their diet and smoking were supported by the practice."

Positive

"• An active programme of clinical audit that reviewed care and ensured actions were implemented to enhance outcomes for patients was undertaken."

Positive

"• A comprehensive clinical audit plan was place and the monthly clinical meeting minutes highlighted when the next clinical audit or reaudit was due."

Positive

"• There was a health and safety policy available."

Positive

"• Locum and GP training packs also included health and safety induction topics."

Neutral

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

Positive

"• One practice nurse who was the designated lead for infection prevention and control IPC 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 shared care medicine reviews were identified as not up to date following an audit the actions taken including implementing a structured patient recall system in accordance with shared care agreements and repeated auditing."

Positive

"A comprehensive medicine management action plan was in place to ensure medicine management was safe."

Positive

"The second audit was undertaken following training received by one of the GP partners regarding joint injections and this reviewed the practice performance in obtaining written consent recording medicine batch numbers and carrying out follow up reviews."

Positive

"• A comprehensive medicines management action plan was being implemented and this identified a range of medicine related audits that had been and continued to be implemented as part of the plan."

Positive

"New audits planned for this year included those patients prescribed a specific medicine for overactive bladder syndrome and who may have high blood pressure."

Neutral

"Leadership roles included medicine coordinator complaints manager Dementia and Cancer Champion."