What is the Quality of Facilities at Clifton Court Medical Practice

Positive

"Management monitoring and improving outcomes for people The practice routinely collected information about people’s care and outcomes."

Positive

"National data showed the practice performed well in carrying out additional health checks and monitoring for those experiencing a mental health problem."

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

"This medication has known side effects so careful monitoring of the patient’s condition was required."

Positive

"The practice was proactive in monitoring the availability of appointments and would increase appointment slots to meet increases in demand."

Positive

"The practice was proactive in monitoring those who did not attend for screening or long term condition clinics and followed these up."

Positive

"The practice had a system 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."

Neutral

"Staff told us about the arrangements for planning and monitoring the number of staff and mix of staff needed to meet patients’ needs."

Positive

"Patients requiring palliative care were discussed at regular multidisciplinary care meetings to ensure their needs assessment remained up to date."

Positive

"The practice also used the computer system to identify patients with specific needs such as those with dementia or who were in need of palliative care and support."

Positive

"The practice also kept registers of other groups such as those receiving palliative care and patients with mental health issues so extra support could be provided."

Positive

"Working with colleagues and other services The practice worked with other service providers to meet people’s needs and manage complex cases for instance regular multidisciplinary meetings were held to identify and discuss the needs of those requiring palliative care or those with mental health needs."

Positive

"This included an annual health check at a nurse led clinic to ensure their conditions were appropriately monitored."

Positive

"Overall patients were satisfied with access to both nurse and GP appointments."

Neutral

"The practice also has a nurse practitioner three practice nurses and three healthcare assistants."

Neutral

"Feedback from patients we spoke with and surveys confirmed they could get an appointment to see a GP or nurse when they needed to."

Positive

"Arrangements to deal with emergencies and major incidents Staff we spoke with were able to describe what action they would take in the event of a medical emergency situation."

Positive

"There were a limited number of disabled parking spaces to the rear of the building."

Positive

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

Positive

"Information was made available to out of hours providers for those on end of life care to ensure appropriate care and support was offered."

Positive

"The practice held multidisciplinary meetings to ensure the needs of those with chronic conditions or end of life care were met."

Positive

"They worked with other mental health care professionals to ensure that care for vulnerable older patients in the unit was coordinated effectively."

Neutral

"The practice has a system in place for completing clinical audit cycles."

Positive

"There were health and safety policies in place covering subjects such as fire safety manual handling and equipment and risk assessments for the running of the practice."

Positive

"On starting staff commenced an induction comprising health and safety and fire precautions in addition to further role specific induction training and shadowing of other members of staff."

Positive

"At the time of the inspection the practice did not have a comprehensive infection prevention and control IPC policy however they were able to show us that they had one they were developing and would be introducing in the near future."

Positive

"Staff were able to describe how their clinical practice minimised the risk of the spread of infections including how they would handle a needle stick injury or the cleaning up of a spillage of bodily fluids."

Positive

"They are supported by a team of management reception administrative and cleaning staff."

Positive

"Staff said they were given sufficient PPE to allow then to do their jobs safely and were able to discuss their responsibilities for cleaning and reporting any issues."

Neutral

"We saw that a cleaning schedule was being developed which covered all areas of the practice."

Positive

"The practice also provided support to elderly patients living in a nearby residential home and had initiated monthly meetings with the psychogeriatrician to ensure coordinated care."

Positive

"The practice also undertook weekly visits to two residential nursing homes one of which had a large elderly mental illness unit."

Positive

"The practice also undertook weekly visits to a residential nursing home with an elderly mental illness unit where many of the residents had dementia."

Positive

"Medicines management We checked medicines stored in the treatment rooms and medicine refrigerators and found they were stored securely and only accessible to authorised staff."

Positive

"Equipment We found that equipment such as nebulisers spirometers auroscopes ECG machines used to detect heart rhythms and medicine refrigerators were on external contracts to be checked and calibrated on a timely regular basis to ensure they were functioning correctly."