What is the Quality of Facilities at The Flying Scotsman Centre

Positive

"• The practice identified at an early stage older patients who may need palliative care as they were approaching the end of life."

Positive

"They are supported by a lead nurse practitioner an advanced nurse practitioner two practice nurses two healthcare assistants a practice manager and a team of reception and administrative staff."

Positive

"• The lead nurse was the infection prevention and control IPC 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."

Positive

"In addition to prebookable appointments that could be booked up to four weeks in advance same day appointments with GPs and advanced nurse practitioners were available for patients that needed them."

Positive

"GPs and advanced nurse practitioners were trained to child safeguarding level three."

Neutral

"Appointments with the practice nurse are available every alternate Saturday."

Neutral

"Appointments with the practice nurse were available every alternate Saturday."

Positive

"Monitoring risks to patients There were procedures for assessing 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

"• The practice had a system for monitoring repeat prescribing for patients receiving medicines for mental health needs."

Neutral

"There were cleaning schedules and monitoring systems in place."

Neutral

"• There were arrangements for planning and monitoring the number of staff and mix of staff needed to meet patients’ needs."

Positive

"There were early and ongoing conversations with these patients about their end of life care as part of their wider treatment and care planning."

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."

Neutral

"For example: • Patients receiving end of life care carers those at risk of developing a long term condition and those requiring advice on their diet smoking and alcohol cessation."

Neutral

"Staff told us they were currently drafting the clinical audit programme for the next two years following review of previous audits performed and new areas for review."

Positive

"This included ongoing supportonetoone meetings coaching and mentoring clinical supervision and facilitation and support for revalidating GPs and nurses."

Positive

"There was a health and safety policy available."

Neutral

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

Positive

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

Neutral

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

Neutral

"There were cleaning schedules and monitoring systems in place."

Positive

"We noted the weekly checklist to record checks of emergency equipment did not capture the weekly emergency medicine check."