What is the Quality of Facilities at Belmont & Sherburn Medical Group

Positive

"On the day of the inspection there were urgent appointments available with a GP the same day; appointments with a nurse practitioner were also available that day."

Neutral

"The GP and nurse practitioner also accommodated home visits for those who had difficulties getting to the practice."

Neutral

"For example in many cases the nurse practitioner was able to treat many patients who would have otherwise needed an appointment with a GP."

Positive

"Where a patient’s mental capacity to consent to care or treatment was unclear the GP or nurse assessed the patient’s capacity and where appropriate recorded the outcome of the assessment."

Neutral

"They had employed a nurse for this role who worked closely with the community matron to assure joined up working."

Neutral

"The team included a GP specialist adviser SPA practice manager SPA a practice nurse SPA and a CQC Pharmacist inspector and an expert by experience."

Positive

"• Staff encouraged and supported patients to be involved in monitoring and managing their health."

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

"• There were arrangements for planning and monitoring the number and mix of staff needed."

Positive

"Management monitoring and improving outcomes for people The practice participated in the Quality and Outcomes Framework QOF."

Positive

"• There were procedures in place for 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

"• Arrangements were in place for planning and monitoring the number of staff and mix of staff needed to meet patients’ needs."

Positive

"There is onsite parking accessible parking an accessible WC wheelchair and stepfree access."

Positive

"There is onsite parking accessible parking an accessible WC wheelchair and stepfree access."

Positive

"The practice learned from external safety events as well as patient and medicine safety alerts."

Positive

"Exception reporting is the removal of patients from QOF calculations where for example the patients decline or do not respond to invitations to attend a review of their condition or when a medicine is not appropriate."

Positive

"• Staff were clear on their roles and accountabilities including in respect of safeguarding and infection prevention and control • With the exception of the dispensary standard operating procedures practice leaders had established proper policies procedures and activities to ensure safety and assured themselves that they were operating as intended."

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."

Positive

"This included an induction process coaching and mentoring clinical supervision and support for revalidation."

Positive

"This included ongoing support during sessions onetoone meetings appraisals coaching and mentoring clinical supervision and facilitation and support for the revalidation of doctors."

Positive

"• Staff were clear on their roles and accountabilities including in respect of safeguarding and infection prevention and control • With the exception of the dispensary standard operating procedures practice leaders had established proper policies procedures and activities to ensure safety and assured themselves that they were operating as intended."

Neutral

"During our visits we spoke with a range of staff which included GPs practice manager practice nurses practice administrator dispensing staff and receptionists and spoke with patients who used the service and the chair person from the Patient Participation Group PPG."

Neutral

"We also spoke with the chair of the patient participation group PPG at the inspection."

Positive

"There was a health and safety policy available."

Neutral

"• The practice had an induction programme for newly appointed members of staff that covered such topics as safeguarding fire safety health and safety and confidentiality."

Positive

"The practice was responsive to the needs of older patients and had implemented a ‘frail elderly protocol’ home visits and rapid access appointments for those with enhanced needs."