What is the Quality of Facilities at Parish Fields Practice

Positive

"The clinical team also includes one regular locum GP a retired partner one advanced nurse practitioner one trainee nurse practitioner three practice nurses one healthcare assistant and one trainee healthcare assistant."

Positive

"For example the lead nurse for diabetes told us they had been supported in undertaking advanced training in diabetes."

Positive

"The lead nurse for diabetes told us that three monthly shared cared meetings and attendance at an annual diabetes management conference provided opportunities for further updating of knowledge."

Neutral

"The practice had appointed both GP and nurse leads for specialist clinical areas such as diabetes and respiratory conditions."

Neutral

"For example the practice had appointed a lead nurse for diabetes and a lead nurse for respiratory conditions."

Neutral

"The practice manager leads the nonclinical team with a senior administrator senior receptionist and a team of reception and administrative staff."

Positive

"A sign on the reception desk politely requested that patients waiting to speak with a receptionist stood away from the desk to allow the patient before them some privacy."

Neutral

"This room was used to provide privacy for patients who wished to speak to a receptionist or other staff member away from the reception desk."

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

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

Positive

"Continued monitoring helped to ensure that older patients received the right treatment and care when they needed it."

Positive

"This was mirrored in the practice’s approach to monitoring quality and performance through the use of clinical audits and the review of significant events."

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

"The repeat prescription was then printed and signed by the GP only after the GP had checked the medicine had been correctly dispensed."

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

"Multidisciplinary meetings which included palliative care nurses health visitors community psychiatric nurses and district nurses were held regularly."

Neutral

"An example of the range of patients discussed included palliative care patients children of concern to health visitors those experiencing poor mental health and ‘at risk’ patients including patients who had experienced unplanned admission to hospital."

Neutral

"Robust procedures were in place to ensure that criminal record checks via the disclosure and barring service DBS were undertaken where necessary."

Positive

"Anticipatory care planning reflected patients’ wishes relating to hospital admission end of life care and a ‘ceiling’ an upper limit of care agreed by the patient."

Positive

"Anticipatory care planning for those patients reflected the patients’ wishes relating to hospital admission end of life care and a ‘ceiling’ of care agreed by the patient."

Positive

"These care plans were reviewed annually or more frequently if required and had a section stating the patient’s preferences for treatment and decisions relating to end of life care where appropriate."

Positive

"• Parish Fields Practice had developed a clinical audit programme which was both comprehensive and embedded."

Positive

"Parish Fields Practice had developed a clinical audit programme which was both comprehensive and embedded."

Positive

"The practice was able to demonstrate that each clinical audit cycle was completed in order to demonstrate that improved outcomes had been achieved for patients."

Neutral

"The practice had completed an extensive scheme of clinical audit cycles covering a broad range of clinical areas."

Neutral

"We saw evidence that clinical audit work around gestational diabetes had enabled the practice to identify more patients who were at risk and to support them with lifestyle changes during pregnancy."

Neutral

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

Positive

"These included assessment of risks associated with moving and handling fire safety medical emergencies health and safety of the environment and control of Legionella bacteria."

Positive

"We saw that items for discussion included significant events complaints and compliments health and safety and training."

Positive

"Concerns relating to an external cleaning contractor had been noted within the audit and appropriate action taken."

Positive

"Blood results hospital discharge summaries accident and emergency reports and reports from out of hours services were seen and actioned by a GP on the day they were received."