What is the Quality of Facilities at New Addington Group Practice

Positive

"For example the practice had late nurse appointments available for patients and had improved telephone access by increasing the number of available lines and call handlers."

Positive

"We discussed with the practice manager GP and nurse how NICE guidance was received into the practice."

Positive

"A practice nurse had responsibility for following up patients who did not attend."

Neutral

"The practice nurse told us about a local peer review system they took part in with neighbouring GP practices."

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."

Positive

"• Staff encouraged and supported patients to be involved in monitoring and managing their health."

Positive

"Following this incident the practice introduced robust weekly checks for the monitoring of emergency medicines and oxygen to ensure this did not happen again."

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

"• There were arrangements for planning and monitoring the number and mix of staff needed."

Positive

"Management monitoring and improving outcomes for people Information about people’s care and treatment and their outcomes was routinely collected and monitored and this information used to improve care."

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

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

Positive

"For example on administration of vaccines cervical cytology providing smoking cessation advice and supporting the ongoing monitoring and review of patients with long term conditions."

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

"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 practice had a lead for infection prevention and control who had undertaken further training to enable them to provide advice on the practice infection control policy and carry out staff training."

Positive

"The practice is registered as an organisation with the Care Quality Commission to provide the regulated activities of diagnostic and screening procedures family planning maternity and midwifery services and treatment of disease disorder or injury."

Positive

"• Practice leaders had established policies procedures and activities to ensure safety and assured themselves that they were operating as intended."

Positive

"The practice is registered as an organisation with the Care Quality Commission to provide the regulated activities of diagnostic and screening procedures family planning maternity and midwifery services and treatment of disease disorder or injury."

Positive

"The AT Medics GP practice at Parkway Health Centre is registered with the Care Quality Commission CQC to carry on the regulated activities of Diagnostic and Screening procedures Maternity and midwifery services and Treatment of disease disorder or injury to everyone in the population."

Positive

"The practice held biweekly multidisciplinary meetings with GPs health visitors and palliative care nurses."

Positive

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

Positive

"It had a palliative care register and had regular internal as well as multidisciplinary meetings to discuss the care and support needs of patients and their families."

Positive

"We saw members of staff who had joined the practice as a receptionist and had been supported to perform more senior roles."

Neutral

"• The practice ensured that end of life care was delivered in a coordinated way which took into account the needs of different patients including those who may be vulnerable because of their circumstances."

Positive

"For example those with multiple long term conditions mental health problems people from vulnerable groups those with end of life care needs or children on the at risk register."

Positive

"This included an induction process onetoone meetings appraisals coaching and mentoring clinical supervision and support for revalidation."

Neutral

"The team was making use of clinical audit tools clinical supervision and staff meetings to assess the performance of clinical staff."

Positive

"The provider had undertaken a detailed health and safety risk assessment for each member of staff."

Positive

"The responsibility for health and safety risk assessments was that of the practice quality assurance QA coordinator."

Positive

"As the practice premises was leased the landlords for the building shared the responsibilities for health and safety and building maintenance with the practice."

Positive

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

Positive

"We reviewed staff training records and the staff training matrix and saw that staff mandatory courses included annual basic life support health and safety infection control and safeguarding."

Positive

"The practice had a health and safety policy."

Positive

"The practice had a quality assurance coordinator whose role included health and safety risk assessment and management."

Positive

"• We found an anaphylaxis kit which had expired adrenalin medicine used to treat anaphylaxis and cardiac arrest and expired needles."

Positive

"The practice learned from external safety events as well as patient and medicine safety alerts."

Positive

"Exception reporting is the removal of patients from QOF calculations where for example the patients decline or do not respond to invitations to attend a review of their condition or when a medicine is not appropriate."

Neutral

"• The average daily quantity of hypnotics medicine used to induce sleep prescribed by the practice were lower than the clinical commissioning group and national averages."

Positive

"This was reviewed and the practice was able to reduce the overall numbers of patients on the medicine and ensure those remaining on the medicine were not prescribed it on repeat for the long term."

Positive

"We saw evidence that after receiving an alert the GPs had reviewed the use of the medicine in question and where they continued to prescribe it outlined the reason why they decided this was necessary."

Neutral

"The benzodiazepines audit identified that a large proportion of the patients on the medicine had it prescribed on repeat."

Positive

"The practice was accessible to patients who were wheelchair users and was all located on the ground floor level."

Positive

"The programme supports staff to develop their clinical competencies IT skills ensuring patient safety and implementing robust clinical governance framework."

Neutral

"The team was making use of clinical audit tools clinical supervision and staff meetings to assess the performance of clinical staff."

Positive

"He told us that he also met with the cleaning team twice monthly to discuss the cleaning quality and bring up any concerns."

Neutral

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

Neutral

"The QA coordinator ensured cleaning schedules and audits of the domestic cleaning were completed."

Positive

"The practice referred elderly patients who lived alone and were at risk of isolation to befriending services."