What is the Quality of Facilities at Windmill Surgery

Positive

"Management monitoring and improving outcomes for people The practice collected information for the Quality and Outcomes Framework QOF to measure its performance against national screening programmes to monitor outcomes for patients."

Positive

"We reviewed shared care agreements where patients seen by a hospital consultant required monitoring by the practice."

Positive

"The practice had a formal system in place for the ongoing monitoring of significant events incidents and accidents."

Positive

"Shared care agreements for high risk medicines were in place and monitoring was carried out."

Positive

"The practice had 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

"• Patients who required ongoing monitoring had been systematically checked."

Neutral

"For example to perform heart monitoring and diabetic foot checks."

Neutral

"Ongoing monitoring was demonstrated by minutes of meetings where actions taken were reviewed."

Neutral

"• The arrangements for managing repeat prescriptions for high risk medicines that required monitoring were not fully effective."

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 has good transport links for patients travelling by public transport and has parking facilities for staff and patients."

Positive

"For example risk assessments for car parking and seating."

Positive

"The practice has good transport links for patients travelling by public transport and has parking facilities for staff and patients."

Positive

"The practice has good transport links for patients travelling by public transport and has parking facilities for staff and patients."

Positive

"For example the practice held meetings with the professionals involved in the care of patients receiving palliative care."

Positive

"Care provided was coordinated through written care plans completed by the community palliative care team and inclusion on the internal at risk register."

Positive

"Multidisciplinary team meetings were used to discuss patients on the practice palliative care register."

Positive

"The practice had appointed a GP to lead on the care of palliative patients."

Neutral

"Monthly meetings with community teams were held to review the needs of palliative patients."

Positive

"The practice explained that they had a delay caused by the need to recruit a new nurse following the retirement of the previous practice nurse trained in diabetes."

Neutral

"• The practice offered GP and nurse home visits to older people who were housebound only."

Neutral

"One of the practices nurses was the lead for infection prevention and control and received annual update training from the lead infection prevention control nurse from the Clinical Commissioning Group CCG."

Neutral

"We reviewed the staff files for three staff employed at the practice a nurse a locum GP and a member of the reception staff."

Neutral

"The provider had appointed a practice nurse as respiratory lead but when we spoke with that nurse she was unaware of the QOF performance and any action plan to improve."

Neutral

"The practice satisfaction scores on consultations with the nurse were consistently above local and national averages."

Neutral

"The practice is situated on both the ground floor and second floor of the building and there is a lift for staff use."

Positive

"• Practice staff used their knowledge of different languages to assist elderly patients from a minority background mainly South Asian to come in for checks and be signposted to community services or activities such as day care."

Positive

"For example one wheelchair repair injections delivered to the surgery patient with anxiety problems."

Positive

"All areas within the practice are accessible by patients who use a wheelchair or parents with a pushchair."

Positive

"• There was an appointed lead for health and safety and a comprehensive assessment of risks to patients and staff."

Positive

"The practice carried out annual health and safety audits and had completed risk assessments."

Positive

"The health and safety lead had completed additional training specific to the role."

Positive

"Minutes of practice meetings showed that health and safety was discussed when required and was a standing agenda item at the partners’ meetings."

Positive

"The poster identified the named health and safety lead at the practice."

Neutral

"The practice had a health and safety policy available and the mandatory programme poster was displayed in the reception area."

Neutral

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

Neutral

"Topics on the agenda included significant events complaints safeguarding health and safety and other governance arrangements."

Neutral

"One of the practices nurses was the lead for infection prevention and control and received annual update training from the lead infection prevention control nurse from the Clinical Commissioning Group CCG."

Neutral

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

Positive

"There were cleaning schedules in place and cleaning records and standards were reviewed and problems reported to the cleaning supervisor."

Neutral

"The practice did not carry out regular cleaning audits but had noted some areas that required more cleaning."

Positive

"• The practice offered personalised care to meet the needs of the older people in its population and provided a service to a care home that housed elderly patients in need of short term respite care."

Positive

"• Practice staff used their knowledge of different languages to assist elderly patients from a minority background mainly South Asian to come in for checks and be signposted to community services or activities such as day care."

Positive

"Specific medicine directions Patient Group Directions for the practice nurses were adopted by the practice to allow the practice nurses to administer specific medicines in line with legislation."