What is the Quality of Facilities at Aspiro Healthcare

Positive

"During our inspection we spoke with three members of the PPG including the current chair person who all told us that they felt the PPG was both supportive and challenging when required."

Positive

"The evolving needs of every patient receiving palliative care were discussed at weekly multidisciplinary team MDT meetings involving the GPs nurses social workers and the MacMillan service."

Neutral

"Examples of this included patients who needed a medication review patients receiving palliative care children who were known to be at risk of harm or those patients who were caring for others."

Positive

"We saw signed and dated entries in a log book which showed that there were also arrangements to check the medicines when the nurse was on leave."

Positive

"We saw that new patients were asked to complete a general health questionnaire when they first registered and were invited into the surgery to see a nurse for a health check and exploration of their medical history and lifestyle."

Neutral

"All other medicines including those used in a medical emergency were stored appropriately and were checked monthly by the designated lead nurse who was in charge of medicines."

Neutral

"The senior nurse was designated as a lead infection control for the practice and was a point of reference for all staff."

Neutral

"Patients could be taken to an interview room to the side of the reception if they wanted to speak in private to a receptionist and there were notices displayed advising that this was available."

Positive

"The practice carried a small stock of medicines for use in the event of a medical emergency such as a heart attack or severe shock due to an allergic reaction."

Neutral

"All other medicines including those used in a medical emergency were stored appropriately and were checked monthly by the designated lead nurse who was in charge of medicines."

Positive

"Additionally we reviewed the records of weekly meetings held between the GPs nurses and the MacMillan service that showed the practice had an active programme of monitoring the care and treatment of those patients who were receiving endoflife care."

Positive

"Management monitoring and improving outcomes for people We found that the MDT played a key role in monitoring and improving outcomes for patients."

Positive

"Three further audits related to followup monitoring of the practice’s response to patients with chronic obstructive pulmonary disorder COPD."

Positive

"There was a system for monitoring the fridge temperatures daily so that the practice was assured the vaccines remained viable and safe to use."

Positive

"Clinics were also held for smoking cessation blood pressure monitoring and weight management."

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

"Even though an infection control selfassessment had not been carried out the regular check sheets indicated that the practice had a diligent approach to monitoring cleanliness on a daytoday basis."

Neutral

"Staffing was monitored weekly through a capacity monitoring report produced for the practice management meeting showing how many appointments were booked for each GP and nurse."

Positive

"There was level access throughout accessible toilets and a lift to enable patients in wheelchairs or who were less able to access the upper floor."

Neutral

"We saw that the lift required two people to operate and so patients who attended alone were supported by reception staff to operate the lift or were offered an appointment in one of the ground floor rooms."

Positive

"The nursing team had individually allocated areas of responsibility for areas such as wound care asthma and diabetes."

Positive

"We saw there were cleaning schedules in place and cleaning records were kept that helped the practice to monitor the effectiveness of the cleaning process."

Neutral

"We saw one such deep cleaning process being undertaken at the time of our inspection."

Neutral

"However we noted that there were sterilisation logs curtain cleaning logs and check sheets for each of the consultation rooms."

Positive

"We noted that there were no routine post hospital discharge visits carried out."

Positive

"Information about safety was recorded monitored appropriately reviewed and addressed except that medicine safety alerts were not always responded to effectively."

Positive

"The practice should implement a checking or audit system that enables them to identify patients at risk each time a medicine alert is received and to identify and manage prescriptions that have remained uncollected after an extended period."

Positive

"Furthermore a search of the data from the patient records management system and our discussions with the GPs showed that there was no system in place to identify patients who might be at risk as a result of medicine safety alerts."

Positive

"Areas for improvement Action the service SHOULD take to improve The practice should implement a checking or audit system that enables them to identify patients at risk each time a medicine alert is received and to identify and manage prescriptions that have remained uncollected after an extended period."

Neutral

"For example we saw that that the prescription clerks added blood test request forms to the prescription to remind patients they needed to have a blood test as part of their medicine review."