What is the Quality of Facilities at Giffard Drive Surgery

Positive

"A nurse we spoke with told us the nursing team worked effectively together and their skills complimented each other."

Positive

"Medicines Management A practice nurse was responsible for the management of medicines within the practice."

Positive

"The oxygen and automated external defibrillator AED were checked by the nurse to ensure they were in date and in working condition."

Neutral

"The practice had a practice nurse who was the lead for infection control and the practice told us they were implementing audits in accordance with guidance."

Neutral

"Cleanliness & Infection Control The practice had a practice nurse who was the lead for infection control."

Neutral

"The card explained how visits to the GP or nurse were private and confidential to the individual patient."

Positive

"We did not check whether this practice was providing Safe Caring and Responsive services at this inspection because our monitoring of the practice indicated no significant change since the last inspection."

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

"• Review monitoring processes of emergency medicine stock to include checking of expiry dates."

Positive

"• There were some governance arrangements that required a review and some risks that had not been identified by the practice such as no monitoring of consent seeking process gaps in recruitment documentation and care plans not being routinely reviewed or updated."

Positive

"In particular: • There was no monitoring of consent seeking processes."

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

"• Review training monitoring processes and consider how training requirements are circulated and undertaken in a timely way."

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

"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 The practice operated a personalised patient list that ensured patients knew their GP and continuity of care was provided."

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

"However some essential training for GPs was overdue such as health and safety training."

Positive

"The practice also had a health and safety policy."

Neutral

"They said they had received training in areas such as safeguarding confidentiality fire safety and health and safety within the building."

Positive

"• Review monitoring processes of emergency medicine stock to include checking of expiry dates."

Positive

"The practice was also held six monthly primary care meetings where all external providers such as midwives and health visitors counsellors and psychiatrists district nurses and medicine management representatives came together to discuss clinical developments and encourage multidisciplinary ways of working."

Positive

"GPs provided us with examples of acting upon safety alerts such as reviewing patients on a specific medicine to ensure it was safe."

Positive

"The practice had the correct equipment training and emergency drugs to manage a medical emergency safely."

Neutral

"Appropriate equipment and medicines were available for use in a medical emergency and records showed these checked monthly by a practice nurse."

Positive

"A dermatoscope is a handheld skin microscope with a bright light source which magnifies the skin and allows the observer to see much more detail in the skin."

Positive

"The practice had employed a receptionist who was trained in sign language to support patients who were deaf or hard of hearing."

Positive

"There was also information about other health service providers such as memory clinics and dementia services patient transport local stroke services and information on accessing housing advice and substance misuse services."

Positive

"The waiting area had posters and a rolling electronic television screen that provided patients with health promotion information such as diabetes eye screening COPD maternity clinics cancer awareness and general dietary advice."

Neutral

"There was wheelchair access and accessible toilet facilities and the waiting room offered seating that was accessible to patients with restricted mobility."

Positive

"We examined four staff files and found that the practice had carried out the necessary checks including criminal records check undertaken by the disclosure and barring service DBS where required to assure them that new staff were suitable to work with vulnerable patients and children."

Positive

"In addition there was an example of outstanding practice as the practice had a GP who had undertaken specialised training in end of life care and was the local area lead."

Positive

"• The practice maintained an electronic register of patients on end of life care that could be accessed by all GPs and nurses."

Positive

"The practice had a GP who had undertaken specialised training in end of life care and was the local area lead."

Positive

"They were the lead GP at the practice for end of life care which ensured staff could seek guidance when they needed to."

Positive

"The practice had a clinical governance policy and throughout the inspection we observed staff followed information governance guidance such as using a clear desk rule to ensure confidential patient information was protected."

Positive

"The practice had effective internal and clinical governance systems."

Neutral

"The practice had a system in place for completing clinical audit cycles."

Positive

"The practice used contracted cleaners and there was a cleaning checklist in place which the practice was amending further to ensure it provided the cleaners with clear instructions."