What is the Quality of Facilities at Thornton Road Surgery

Positive

"• The practice used the NHS “coordinate my care” service to prepare urgent care plans for palliative care patients which were electronically stored and shared with other providers involved with end of life care."

Positive

"For example in the last year the health care assistant at the practice had been trained to administer vaccines and the nurse had received training updates for diabetes asthma wound care family planning and cervical smears."

Positive

"The practice nurse was the infection control clinical lead who liaised with the local infection prevention teams to keep up to date with best practice."

Positive

"• Where a patient’s mental capacity to consent to care or treatment was unclear the GP or practice nurse assessed the patient’s capacity and recorded the outcome of the assessment."

Neutral

"During our visit we: • Spoke with a range of staff including salaried GPs the practice nurse practice manager and administrative staff and spoke with patients who used the service."

Neutral

"The practice pharmacist had also carried out prescribing audits the nurse had carried out a hand washing audit and one of the GPs had carried out an audit of consultation times."

Neutral

"The practice nurses attended a local practice nurse forum on a bimonthly basis."

Positive

"In response to the survey the practice recovered the seating in the waiting area recruited an additional receptionist and increased its use of telephone triage."

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."

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."

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

Positive

"The premises are wheelchair accessible and there are facilities for wheelchair users including a disabled toilet and hearing loop."

Positive

"• Multidisciplinary team meetings were held for patients receiving end of life care and personalized care plans were seen for these patients."

Positive

"For example in the last year the health care assistant at the practice had been trained to administer vaccines and the nurse had received training updates for diabetes asthma wound care family planning and cervical smears."

Positive

"This included ongoing support onetoone meetings clinical supervision and facilitation and support for revalidating GPs."

Positive

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

Neutral

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

Neutral

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

Positive

"• The practice had taken several steps to improve their care for people with long term conditions such as medicines synchronization increased support for patients with diabetes and a robust system of recalling these patients for health checks and medicine reviews."

Positive

"These batches of patients were recalled to the practice for a full range of health and medicine reviews as appropriate."

Neutral

"• Patients with long term conditions and complex health needs were invited to the practice by the practice pharmacist to review their medicine and synchronize their prescriptions."

Neutral

"This reduced the number of times these patients would need to contact the practice for repeat prescriptions and helped the practice identify patients who were not adhering to their medicine regimes."