What is the Quality of Facilities at Vine Medical Centre

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 The practice used the information collected for the Quality and Outcomes Framework QOF and performance against national screening programmes to monitor outcomes for patients."

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

"Areas for improvement Action the service MUST take to improve • Ensure there are formal governance arrangements in place including systems for assessing and monitoring risks and the quality of the service provision."

Positive

"• Implement processes to support daily monitoring of fridge temperatures to ensure medicines are stored safely."

Positive

"Management monitoring and improving outcomes for people The practice used the information collected for the Quality Outcomes Framework QOF and performance against national screening programmes to monitor outcomes for patients."

Positive

"The areas where the provider must make improvements are: • Ensure there are formal governance arrangements in place including systems for assessing and monitoring risks and the quality of the service provision."

Positive

"• Processes did not ensure daily monitoring of fridge temperatures to ensure medicines were stored safely."

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

"• There were some procedures in place for monitoring and managing risks to patient and staff safety."

Neutral

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

Positive

"One nurse also told us they worked closely with a visiting diabetic nurse specialist to ensure the care of patients with diabetes was up to date and of a good quality."

Positive

"The practice nurse was the infection control 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

"• A practice nurse had developed a respiratory support group for patients with respiratory conditions."

Positive

"• A practice nurse ran a support group for patients with respiratory conditions."

Positive

"• The practice accessed support from a visiting diabetic nurse specialist who ran a monthly clinic at the practice."

Positive

"The practice worked with a diabetic nurse specialist from a local NHS trust to run a weekly diabetic clinic with a GP at the 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 where appropriate recorded the outcome of the assessment."

Positive

"One nurse told us they had recently completed a wound care update course to support the management of patients with venous ulcers."

Positive

"• The practice accessed support from a diabetic specialist nurse who attended the practice on a weekly basis to assist in the management of patients with complex care needs."

Positive

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

Positive

"Nurses within the practice told us they did not attend meetings with the GPs and were unable to meet as a nurse team as there was no overlap of the hours they worked."

Positive

"The nurse worked closely with local respiratory physicians to support their updating of knowledge."

Positive

"However we saw that fridge temperature checks had not been undertaken on one day each week when there was routinely no nurse present within the practice and during some other periods of nurse absence."

Positive

"Another nurse told us of recent updated training they had received in the care of patients with respiratory conditions such as asthma and chronic obstructive pulmonary disease."

Positive

"Nurses worked closely with a community tissue viability nurse to ensure optimum treatment outcomes for those patients."

Neutral

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

Positive

"• Older patients with complex care needs for example dementia and end of life care and those at risk of hospital admission all had personalised care plans that were shared with local organisations to facilitate the continuity of care."

Positive

"There was a health and safety policy available with a poster in the reception office which identified local health and safety representatives."

Neutral

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

Positive

"• Ensure staff undertake training to enable them to undertake their role including training in the safeguarding of vulnerable adults health and safety fire safety and information governance."

Positive

"We reviewed staff training records and saw that some staff were not up to date with training in key areas such as fire safety health and safety and the safeguarding of vulnerable adults."

Positive

"There were health and safety policies and procedures available within the practice."

Neutral

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

Neutral

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

Neutral

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

Positive

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

Neutral

"• All these patients had a named GP and a structured annual review to check that their health and medicine needs were being met."

Positive

"One nurse told us they had recently completed a wound care update course to support the management of patients with venous ulcers."

Positive

"• There was a lack of systems in place for completing clinical audit cycles."

Positive

"There was a lack of processes to ensure staff were supported by onetoone meetings appraisals coaching and mentoring clinical supervision and facilitation."

Neutral

"We found two sealed sharps bins awaiting collection which had been stored on a high shelf within a cleaning cupboard."