What is the Quality of Facilities at Lane End Medical Group

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

"The intelligent monitoring tool draws on existing national data sources and includes indicators covering a range of GP practice activity and patient experience including the Quality Outcomes Framework QOF and the National Patient Survey."

Positive

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

Positive

"Management monitoring and improving outcomes for people Staff across the practice had key roles in monitoring and improving outcomes for patients including data input scheduling clinical reviews managing child protection alerts and medicines management."

Positive

"The CQC intelligent monitoring placed the practice in band three."

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

"When we spoke with the Chair of the practice’s Patient Participation Group they told us that the practice had acted upon the group’s immediate concerns and that it was currently monitoring phone performance."

Neutral

"All clinical communal and nonclinical areas of the practice were maintained and cleaned routinely by a cleaning contractor and we were told that regular monitoring meetings took place."

Positive

"We noted that new staff completed an induction which included infection control & prevention health and safety and an overview of staff members’ roles."

Neutral

"There is one nurse practitioner one practice nurse and one healthcare assistant."

Positive

"Clinicians undertook part time undergraduate teaching post graduate teaching and nurse mentor roles; and staff spoke positively about how this helped ensure that care was based upon latest guidance and best practice."

Positive

"The practice’s nurse practitioner trained student nurses in primary care as part of a Community Education Provider Network initiative to improve nurse training in primary care."

Positive

"For example the practice trained student nurses in primary care as part of a Community Educator Provider Network initiative improving nurse training in primary care."

Positive

"There was a strong focus on continuous learning and improvement at all levels of the organisation which was supported by GPs’ involvement in part time undergraduate post graduate hospital consultancy and nurse education mentor roles."

Positive

"The practice’s nurse practitioner was the Infection Prevention and Control IPC lead and responsible for ensuring effective infection control throughout the practice."

Positive

"This was supported by GPs’ involvement in part time undergraduate post graduate teaching and by nurse practitioner involvement in a local practice nurse mentoring scheme."

Positive

"The staff team comprises seven GP partners four female three male three salaried doctors two female one male one nurse practitioner two practice nurses all female two health care assistants one female one male practice manager and a range of administrative staff."

Positive

"It was practice policy to offer a health check with the health care assistant practice nurse to all new patients registering with the practice."

Positive

"We spoke with a range of staff including reception staff practice nurses nurse practitioners and GPs; all of whom described a patient centred approach to delivering care."

Positive

"The practice told us that the service enabled GPs and the nurse practitioner to deliver ongoing chronic disease management and to undertake more visits to its large frail housebound population."

Neutral

"The team included a GP practice nurse and practice manager specialist advisors."

Neutral

"During our visit we spoke with a range of staff GPs nurse practitioner practice nurse practice manager office manager and reception staff and spoke with patients who used the service including PPG members."

Neutral

"We were also advised that the practice was producing information to educate patients on the role of the practice’s nurse practitioner."

Neutral

"A nurse practitioner is an advanced practice registered nurse who has completed advanced coursework and clinical education and is qualified to diagnose medical problems order treatments prescribe medications and make referrals."

Positive

"Governance arrangements The practice had implemented an annual rolling timetable for clinical audit and quality."

Positive

"The practice undertook clinical audits and clinical meetings included discussions regarding clinical audits but we did not see evidence of a planned programme of clinical audit being systematically used to improve outcomes for patients."

Positive

"For example following an incident in which the practice was unaware a patient receiving blood thinning medicine was not attending planned community appointments a new protocol was established that prompted clinicians to collect further information from patients and provide support and signposting to care services where needed."

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."

Positive

"The chair of the PPG spoke positively about how the groups’ views were taken on board."

Positive

"Records showed that the practice routinely reviewed the care of patients on its palliative care register and that it worked with palliative care nurses in the care and treatment of patients."

Positive

"For example weekly clinical meetings included a review of palliative care end of life patients and children in need."

Positive

"For example a receptionist outlined the steps taken to help vulnerable patients who needed additional support to understand and be involved in their care; • Records showed the practice used significant events to improve the service and we noted that learning points were shared at team meetings."

Positive

"A receptionist outlined to us the steps that she and her colleagues routinely undertook to help patients who needed additional support to understand and be involved in their care."

Positive

"A receptionist outlined the steps that she and reception colleagues routinely undertook to help patients who needed additional support to understand and be involved in their care."

Neutral

"When we spoke with a receptionist they stressed the importance of seeing a patient as an individual."

Neutral

"During the inspection we observed that the reception area was located away from the two waiting areas and that conversations between the receptionist and patients could not be overheard."

Positive

"These activities supported staff in continually reviewing discussing and sharing clinical best practice."

Positive

"The practice had good physical facilities such as wheelchair access baby changing facilities and was well equipped to treat patients and meet their needs."

Positive

"The reception desk included a lowered section to enable ease of access for wheelchair users and children."

Positive

"Toilets were wheelchair accessible and contained baby changing facilities."

Positive

"Records also showed that end of life care nurses regularly attended multidisciplinary meetings at the practice to ensure that emotional support and caring support were coordinated."

Positive

"Risks to patients and staff were assessed and well managed including infection prevention and control audits."

Neutral

"All clinical communal and nonclinical areas of the practice were maintained and cleaned routinely by a cleaning contractor and we were told that regular monitoring meetings took place."