What is the Quality of Facilities at Dr. Wilks & Partners

Positive

"The GP and practice nurse also accommodated home visits for those who had difficulties getting to the practice due to limited local public transport availability."

Neutral

"The nursing team consists of one nurse practitioner two practice nurses two healthcare assistants and one phlebotomist."

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

"During our visit we: • Spoke with a range of staff GPs practice nurse health care assistant receptionists dispensers dispensary manager and spoke with patients who used the service."

Positive

"The practice had a system for production of Patient Specific Directions to enable Health Care Assistants to administer vaccinations after specific training when a doctor or nurse were on the premises."

Neutral

"The nursing team consists of one nurse practitioner two practice nurses two healthcare assistants and one phlebotomist."

Neutral

"The practice had recently recruited a nurse practitioner."

Neutral

"The practice nurses were trained as nurse mentors and worked with student nurses."

Positive

"• Staff encouraged and supported patients to be involved in monitoring and managing their own health for example through social prescribing schemes."

Positive

"• The practice had arrangements for adults with newly diagnosed cardiovascular disease including the offer of highintensity statins for secondary prevention people with suspected hypertension were offered ambulatory blood pressure monitoring and patients with atrial fibrillation were assessed for stroke risk and treated as appropriate."

Positive

"For example overdue blood pressure monitoring or blood tests if taking high risk medicines."

Positive

"• Arrangements were in place for planning and monitoring the number and mix of staff needed to meet patients’ needs including planning for holidays sickness busy periods and epidemics."

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

"• Staff were clear on their roles and accountabilities including in respect of safeguarding and infection prevention and control • Practice leaders had established some policies procedures and activities to ensure safety but there was a need to improve these."

Positive

"• Ensure staff employed in the provision of regulated activities receive the appropriate training and professional development necessary to enable them to carry out their duties."

Positive

"We saw one area of outstanding practice: • The practice ran a charity that provided funding to supply a night sitting service for palliative care patients in the area of Waverley."

Positive

"• The practice ran a charity which provided a night sitting service for palliative care patients."

Positive

"The practice ran a charity that provided a night sitting service for palliative care patients from their own practice and within the CCG area."

Positive

"• The practice ran a charity “Countrymice” that helped to fund a night sitting service for palliative care patients."

Positive

"Outstanding practice • The practice had recognised a problem with the services for night sitting for palliative care patients and had set up a charity which raised funds to provide night sitting services."

Positive

"This made a significant difference to palliative care patients."

Neutral

"The practice had recognised a problem with the services for night sitting for palliative care patients and had set up a charity “Country Mice” which they raised funds for."

Positive

"• The practice’s uptake for breast and bowel cancer screening was in line the national average."

Positive

"The GP and practice nurse also accommodated home visits for those who had difficulties getting to the practice due to limited local public transport availability."

Positive

"The GP and practice nurse also accommodated home visits for those who had difficulties getting to the practice due to limited local public transport availability."

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

"• A GP took the lead for mental health care and attended local forums to assist in identifying and solving problems in care pathways."

Positive

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

Positive

"For example in relation to health and safety Legionella and medicines management."

Positive

"• However they did not always maintain an accurate overview and understanding of key quality and risks within the practice for example in relation to health and safety and training."

Positive

"In particular: health and safety assessments Legionella and security risk assessments."

Positive

"In particular mental capacity medicines management principles of health and safety and anaphylaxis training."

Neutral

"For example at the time of inspection there was no recorded health and safety audit of the practice."

Neutral

"Risks were not always adequately identified and assessed for example in relation to health and safety and safety audits."

Positive

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

Positive

"This covered such topics as health and safety and confidentiality."

Positive

"• Staff were clear on their roles and accountabilities including in respect of safeguarding and infection prevention and control • Practice leaders had established some policies procedures and activities to ensure safety but there was a need to improve these."

Positive

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

Positive

"We also saw that the reception desk and dispensary desk were both at a high level making it more difficult for anyone in a wheelchair to talk to a receptionist."

Positive

"• There was a GP lead for frail elderly who reviewed these patients every week and liaised with specialist elderly care teams community nurses and social services to ensure they had the care they needed."