What is the Quality of Facilities at Lakeside Healthcare Partnership

Positive

"We also saw that the practice team had regular weekly meetings with the health visitor midwife school nurse and the social worker to discuss ongoing safeguarding issues and agree plans for keeping patients safe."

Positive

"It was practice policy to offer a health check with the health care assistant or a practice nurse to all new patients registering with the practice."

Positive

"Following our inspection the practice manager wrote to us and told us that changes had been implemented which enabled these health checks to be available with a GP or a nurse as appropriate at Brigstock surgery."

Neutral

"For example there was a lead nurse for infection control and a lead GP for safeguarding."

Positive

"Our judgement of the quality of care at this service is based on a combination of what we found when we inspected information from our ongoing monitoring of data about services and information from the provider patients the public and other organisations."

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 provider did not have an effective system in place for the monitoring and recording of the availability of emergency equipment and medicine."

Positive

"Management monitoring and improving outcomes for people Staff across the practice had key roles in monitoring and improving outcomes for patients."

Positive

"Learning and improvement from safety incidents The practice had a system in place for reporting recording and monitoring significant events incidents and accidents."

Positive

"For example the practice had introduced measures to improve the uptake of flu vaccinations as monitoring data showed that uptake could be improved."

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

"They related to a variety of issues including prescribing patient monitoring and completeness and appropriateness of test results."

Neutral

"Staff told us about the arrangements for planning and monitoring the number of staff and mix of staff needed to meet patients’ needs."

Neutral

"The surgery used a system called ‘Pathfinder’ which incorporated all such guidance and offered uptodate access to diagnosis treatment monitoring and referral criteria to other services in one place."

Neutral

"All the sites have level access and parking facilities."

Positive

"Medicines management We checked medicines stored in the treatment rooms and medicine refrigerators and found they were stored securely and were only accessible to authorised staff."

Positive

"We saw evidence of information sharing for example with the out of hours service palliative care team Are services effective?"

Positive

"For example the practice kept a register of all patients with a learning disability and of all patients in need of palliative care and support irrespective of age."

Positive

"However we found that access to this area was not restricted as garden tools and grocery items used by the practice’s coffee shop were also stored in the basement."

Positive

"There were facilities for the patient who used a wheelchair such as fully automated doors at the main entrance to the practice same level flooring throughout clinical and consultation rooms available on the ground floor and a toilet for patients with disabilities including grab rails and alarm."

Neutral

"The practice had a system for completing clinical audit cycles."

Positive

"Health and safety information was displayed for staff to see and there was an identified health and safety representative."

Positive

"The practice also had a health and safety policy."

Positive

"The training matrix which documented the training of all staff showed that staff had been trained in core subjects such as infection control safeguarding children and vulnerable adults health and safety and manual handling and specialised subjects such as asthma and diabetes."

Neutral

"We saw there were cleaning schedules in place and cleaning records were kept."

Positive

"A system was in place for hospital discharge letters blood test results and X ray results to be reviewed by the responsible GP who would initiate the appropriate action in response."