What is the Quality of Facilities at Ludham and Stalham Green Surgeries

Positive

"To offer a boost to morale and confidence within the team and to provide useful patient feedback for the new upcoming nurse revalidation scheme."

Positive

"• The practice had implemented a monthly clinic at each site with the secondary care diabetic specialist nurse to help with patients who found it difficult to access hospital either because of rural transportation issues or because they felt more comfortable in the familiar surroundings of the practice."

Positive

"• One of the practice’s nurses was a research nurse with allocated time to ensure they could fulfil this role effectively."

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."

Neutral

"• Recruitment of an additional nurse for both relief cover and to specifically hold diabetic clinics."

Neutral

"There were a lead GP and nurse actively involved in research."

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 was a system in place for the management of high risk medicines which included regular monitoring in accordance with national guidance."

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."

Neutral

"As a result of each of the cycles of this audit the practice had devised an action plan with several actions relating to setting up regular searches monthly to aid close monitoring of the patients."

Neutral

"We saw evidence of a thorough assessment on all building contractors used to date this included references health and safety and risk monitoring systems legal certificates and insurance details amongst others."

Positive

"• The practice worked with various local schemes to improve services and access for patients for example a good neighbour scheme and two local car schemes to support transport for patients and to arrange prescription services."

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 alcohol consumption and smoking cessation."

Positive

"This included ongoing support onetoone meetings clinical supervision and facilitation and support for revalidating GPs and nurses; and training on topics based on the needs of the patient demographics for example deaf awareness and dementia awareness training."

Positive

"There was a health and safety policy available at each of the locations with a poster which identified local health and safety representatives."

Positive

"The practice explained that unannounced visits and inspections were undertaken by the consultant to aid the practice being aware of health and safety matters at all times."

Positive

"• The practice had accessed the services of an external health and safety consultant to undertake regular assessments of the premises."

Positive

"The practice had accessed the services of an external health and safety specialist to undertake regular assessments of the premises."

Neutral

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

Neutral

"We saw evidence of a thorough assessment on all building contractors used to date this included references health and safety and risk monitoring systems legal certificates and insurance details amongst others."

Positive

"There was a lead member of staff for infection control who liaised with the local infection prevention and control teams to keep up to date with best practice."

Neutral

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

Positive

"The practice employed a cleaner at the Ludham surgery and made use of a cleaning company at the Stalham Green surgery."

Neutral

"The cleaners provided weekly cleaning schedules and monthly checks were done randomly by the practice and feedback given to the cleaners."

Positive

"Each had different care specialities for patients including elderly people with medication needs and specialist dementia units."

Positive

"Records showed medicine refrigerator temperature checks were carried out to ensure medicines requiring refrigeration were stored at appropriate temperatures."

Neutral

"The GPs also worked with a community pharmacist when conducting patients’ annual medicine reviews."

Neutral

"• The dispensary offered medicine dosage and carousel services to those requiring this."

Neutral

"• The practice had organised a medicine wastage campaign in response to a report by the Department of Health."