What is the Quality of Facilities at Haden Vale Medical Practice

Neutral

"There were disabled facilities and patients using a wheel chair could access the practice there was designated disabled parking and part of the reception desk was lowered."

Neutral

"We saw evidence that vulnerable patients unplanned admissions as well as patients on palliative care were discussed and action plan developed."

Positive

"The new practice nurse employed had a diploma in COPD and it was thought that this would help improve outcomes."

Positive

"The practice nurse was who had started three weeks earlier was appointed the infection control lead and had completed online infection prevention training with further training planned to keep up to date with best practice."

Positive

"The GPs are supported by a practice nurse who had started three weeks prior to our inspection visit."

Positive

"A specialist diabetes nurse held clinics Are services effective?"

Positive

"The practice nurse had started three weeks earlier and told us that they were receiving mentorship and support from the lead GP."

Positive

"The practice was also aware that their achievement for some QOF indicators needed improvement and recruited a practice nurse recently."

Positive

"The practice had recently employed a nurse and they had a lead role in chronic disease management such as diabetes and COPD."

Positive

"We were told that the practice found it difficult to engage some patients and the practice did not have a nurse for a significant period which also contributed to this."

Positive

"We saw Patient Group Directions PGDs had been adopted by the practice to allow the nurse to administer medicines in line with legislation."

Neutral

"The GPs carried out reviews for diabetes and COPD before the nurse started."

Neutral

"During our visit we spoke with a range of staff including the GP partners the practice manager the practice nurse and administration staff."

Neutral

"We saw that the practice nurse had undertaken a recent handwashing audit and had identified actions to address improvements that were required."

Neutral

"We saw that these had been signed by the nurse and the manager."

Neutral

"The practice had recruited a nurse recently and was in the process of employing another salaried GP."

Neutral

"We spoke with the practice manager who told us that they had appropriate follow up procedures for mental health patients but found them difficult to engage and the absence of a nurse did not help."

Neutral

"The practice nurse had started three weeks earlier and confirmed that they had an induction had access to the lead GP for any advice and were being supervised."

Neutral

"Staff who administered vaccines could demonstrate how they stayed up to date with changes to the immunisation programmes for example the practice nurse told us that they attended clinical meetings where new practices and cases were discussed."

Neutral

"The practice explained that the practice nurse had left and this contributed to the low figures."

Neutral

"The practice nurse told us that they offered longer appointments for patients with complex long term conditions such as diabetes."

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."

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."

Neutral

"Arrangements were in place for planning and monitoring the number of staff and mix of staff needed to meet patients’ needs."

Neutral

"There were disabled facilities and patients using a wheel chair could access the practice there was designated disabled parking and part of the reception desk was lowered."

Positive

"They told us that the activities of the care coordinator had made a positive impact on their physical and mental wellbeing as they could access peers for support through the activities organised."

Positive

"As part of this the practice was expected to offer various services such as end of life care and to improve on management of long term conditions."

Positive

"The practice shared relevant information with other services in a timely way for example when referring patients to other services or communicating with the out of hours OOH provider for patients on the end of life care register."

Positive

"This included ongoing support and clinical supervision for the nurse."

Positive

"There was a health and safety policy available with a poster in the staff area which identified local health and safety representatives."

Neutral

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

Neutral

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

Positive

"The practice had an elderly social care coordinator who also acted as an advocate to help and support older patients access other services."

Positive

"The elderly care coordinator also acted as an advocate to access other social services and visited patients in their homes."

Positive

"The practice employed an elderly care coordinator who organised regular coffee morning and social events."

Positive

"The practice employed an elderly care coordinator who also visited patients in their homes and acted as an advocate to access other social services."

Positive

"The elderly care coordinator also organised other social events."

Positive

"The practice employed an elderly social care coordinator."

Positive

"The elderly care social coordinator also organised trips away."

Positive

"The elderly care coordinator also visited patients at home and acted as an advocate to access other social services."

Positive

"We saw that this was reflected through the roles of the elderly care coordinator and the as the secondary prevention health advisor."

Neutral

"They organised coffee mornings every two weeks for the elderly and their carers."

Neutral

"Two of the incidents related to cold chain events where the door to the medicine fridge was found open."