What is the Quality of Facilities at Ifield Medical Practice

Positive

"The nurse manager told us the practice provided care and support to residents with a learning disability living within several local supported housing facilities."

Positive

"We spoke with the lead nurse who told us the practice supported education and ongoing professional development."

Positive

"Nurses told us alerts were discussed at nurse meetings to ensure all staff were aware of any that were relevant to the practice and where they needed to take action."

Positive

"The practice had identified a lead nurse for infection control and had developed a clear policy for the management of infection control processes."

Neutral

"A practice nurse told us how they attended regular forums on the management of patients with diabetes."

Neutral

"A practice nurse told us they recently had an appraisal with a GP partner."

Positive

"We based our judgement of the quality of care at this service 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

"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 Staff from across the practice had key roles in the monitoring and improvement of outcomes for patients."

Positive

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

Positive

"Management lead through learning and improvement The practice had systems in place for reporting recording and monitoring significant events incidents and accidents."

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

"Those meetings were attended by community nurses social workers and palliative care nurses and decisions about care planning were documented in a shared care record."

Positive

"Patients with palliative care needs were supported using the Gold Standards Framework."

Positive

"The practice had a palliative care register and had regular internal as well as multidisciplinary meetings to discuss patient and their families’ care and support needs."

Positive

"The practice participated in regular palliative care meetings and worked closely with a local hospice and palliative care nurses."

Positive

"Patients with palliative care needs were supported."

Positive

"The practice had identified GPs to undertake lead roles in clinical areas such as palliative care diabetes and mental health."

Positive

"We noted there were car parking spaces for patients with a disability."

Positive

"Access to the premises by patients with a disability was supported by an automatic door and accessible front reception desk which had been installed with wheelchair users in mind."

Positive

"One patient described the excellent care received by the practice in supporting the end of life care of a relative."

Positive

"• Develop a programme of clinical audit and ensure audit cycles are completed to promote continuous improvement to patient care."

Positive

"• Learning from recorded incidents and clinical audit findings were not always reviewed and followed up to promote continuous improvement."

Positive

"The practice had some limited systems in place for completing and recording clinical audit cycles."

Positive

"The practice had a health and safety policy."

Positive

"The audit also identified that staff were not always aware of the colour coded cleaning system and that not all sharps containers were located on a secure surface or wall bracket."

Neutral

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

Neutral

"Medicines management We checked medicines stored in the treatment rooms and medicine refrigerators."

Neutral

"For example we saw an audit review of patients with osteoporosis who were prescribed a particular medicine in the management of their condition."

Neutral

"Patients who required a review and change to their prescribed medicine were identified by the practice and their management was reviewed three months later."