What is the Quality of Facilities at The Village Group Practice, Armthorpe Surgery & Auckley Surgery

Positive

"The services are provided by three male and two female GPs an advanced nurse practitioner a diabetic specialist nurse three practice nurses and two health care assistants."

Positive

"We found from our discussions with the GPs and advanced nurse practitioner that staff completed thorough assessments of patients’ needs in line with NICE guidelines and these were reviewed when appropriate."

Neutral

"The GPs and advanced nurse practitioner told us they led in specialist clinical areas such as diabetes heart disease and asthma."

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."

Positive

"• Ongoing regular maintenance actions to minimise risk of Legionella as identified in the risk assessment action plan such as monitoring water temperatures had not been implemented."

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

"Management monitoring and improving outcomes for people Information about people’s care and treatment and their outcomes was routinely collected and monitored and this information used to improve care."

Positive

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

Positive

"Staff across the practice had key roles in monitoring and improving 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

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

Neutral

"We spoke with the practice manager who told us they were able to plan staffing levels by monitoring the telephone system and looking at the number of calls unanswered."

Neutral

"The performance of staff was the subject of monitoring and appraisal at all levels; which reflected the organisational objectives."

Positive

"In particular: • Written premises health and safety and security risk assessments had not been carried out other than for fire safety and Legionella."

Positive

"The registered persons had not done all that was reasonably practicable to mitigate risks to the health and safety of service users receiving care and treatment."

Neutral

"In particular: • Staff had not received infection prevention and control training."

Positive

"An infection prevention and control IPC policy and supporting procedures were available for staff to refer to which enabled them to plan and implement measures to control infection."

Positive

"It had a palliative care register and had regular internal as well as multidisciplinary meetings to discuss the care and support needs of patients and their families."

Positive

"Additionally regular palliative care meetings were held and they included other professionals involved in the individual patient’s care."

Positive

"The practice had registers for patients needing palliative care and treatment for diabetes asthma and COPD."

Positive

"For example palliative care nurses and district nursing staff."

Neutral

"Registers were maintained of patients who had a learning disability a long term condition or required palliative care."

Positive

"Nurses and reception staff provided this service and had appropriate checks through the disclosure and barring service DBS."

Positive

"The practice had effective systems in place for how they completed clinical audit cycles."

Neutral

"We saw the practice had also conducted a reaudit completing the clinical audit cycle."

Neutral

"Clinical audit clinical supervision and staff meetings were used to assess performance."

Neutral

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

Positive

"Amiodarone is a medicine used to treat heart rhythm disorders."

Positive

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