What is the Quality of Facilities at Perivale Medical Clinic

Positive

"The practice also routinely liaised with health visitors district nurses and the local palliative care team to coordinate care and share information."

Positive

"• Where a patient’s mental capacity to consent to care or treatment was unclear the GP or nurse assessed the patient’s capacity and recorded the outcome of the assessment."

Positive

"The practice also employs a practice nurse a health care assistant a practice manager and receptionists and administrative staff."

Positive

"• Patient group directions PGDs had been adopted by the practice to allow the practice nurse to administer medicines in line with legislation."

Neutral

"GP and practice nurse appointments were available outside working hours."

Neutral

"During our visit we: • Spoke with a range of staff including the principal GP the practice manager the practice nurse and receptionists ."

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

"The principal GP was the lead for infection control in the practice and the practice nurses were responsible for monitoring infection control practice day to day."

Positive

"• The principal GP provided evidence that they provided monitoring mentoring and regular review to support trainee doctors when they were on placement in the practice."

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

"• Reviewed documentary evidence for example practice policies and written protocols and guidelines audits and monitoring checks."

Neutral

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

Neutral

"The practice also carried out audits and performance monitoring of its extended or enhanced services as contractually required for example for coil IUD fittings."

Positive

"The practice is registered with the Care Quality Commission CQC to provide the regulated activities of diagnostic and screening procedures; treatment of disease disorder and injury; maternity and midwifery services; surgical procedures and family planning."

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

"• The practice used clinical audit as a tool to monitor and improve its performance."

Neutral

"• The practice was able to show us several examples of audits against guidelines for example a recent clinical audit of the management of patients with hypertension."

Neutral

"Benchmarking information and clinical audit was used to monitor practice performance in comparison to other practices within the same locality."

Positive

"The practice had appropriate health and safety policies and protocols in place with named leads."

Neutral

"This covered such topics as safeguarding 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."