What is the Quality of Facilities at Botesdale Health Centre

Positive

"They were encouraged to see the practice nurse who had received training to support patients wishing to give up smoking."

Positive

"Patients were signposted to support organisations such as the mental health charity MIND and the community psychiatric nurse for provision of counselling and support."

Positive

"For example there was a lead nurse for infection control and the senior partner was the lead for complaints."

Neutral

"For example nurse appraisals were undertaken by the senior nurse practitioner."

Positive

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

Positive

"Their performance was the subject of monthly monitoring to ensure that patients were receiving the best outcomes."

Positive

"Management monitoring and improving outcomes for people The practice had a system in place for completing clinical audit cycles."

Positive

"One such audit covered monitoring the use of a weight loss prescribed medicine the read coding of patients prescribed this medicine and the subsequent monitoring of the effectiveness of the medicine to improve outcomes for patients."

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

"Patients were referred to specialists and then ongoing monitoring of their condition took place when they were discharged back to their GP."

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

"For example asthma and diabetes monitoring and administration of childhood and travel vaccines."

Neutral

"The performance of the practice in this area was the subject of regular monitoring and data reflected that targets were being achieved."

Positive

"The building provides good access with accessible toilets and disabled car parking facilities."

Positive

"We saw extensive evidence of comprehensive care planning for patients with long term conditions patients in care homes and those patients receiving palliative care."

Positive

"They 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

"We looked at the minutes of the palliative care and end of life meetings and found that individual cases were being discussed and care and treatment planned in line with patients’ circumstances and wishes."

Positive

"The practice adopted the Gold Standards Framework for the treatment of people nearing the end of their lives and requiring palliative care."

Positive

"The practice had implemented the Gold Standards Framework for managing patients with palliative care needs who were nearing the end of their lives."

Positive

"Home visits and priority appointments including for patients who were receiving palliative care were available and prescriptions could be delivered to their home address by a local pharmacy."

Positive

"These meetings were attended by district nurses social workers and palliative care nurses."

Neutral

"For example patients with end of life care needs and children at risk."

Positive

"Management monitoring and improving outcomes for people The practice had a system in place for completing clinical audit cycles."

Positive

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

Positive

"The practice also had a health and safety policy."

Positive

"The practice had robust arrangements for identifying recording and managing health and safety risks."

Positive

"There were clear agreed and available cleaning routines in place for the cleaning of the practice."

Positive

"We saw that cleaning materials were stored safely."

Neutral

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

Neutral

"In addition the practice had undertaken regular cleaning audits."

Neutral

"The practice used contracted cleaning staff to oversee daily cleaning at the practice and held regular meetings with the cleaners to review the results of the cleaning audits and update the cleaning schedules."

Positive

"The more vulnerable patients such as the elderly with complex needs patients with long term conditions and those suffering from dementia were monitored regularly through the use of care plans."

Neutral

"Multidisciplinary team meetings took place for elderly people with complex needs."

Positive

"We were shown evidence to confirm that following the receipt of an alert the GPs and pharmacy lead had reviewed the use of a medicine to ensure that it was still appropriate for patients."

Positive

"One such audit covered monitoring the use of a weight loss prescribed medicine the read coding of patients prescribed this medicine and the subsequent monitoring of the effectiveness of the medicine to improve outcomes for patients."