What is the Quality of Facilities at The Village Surgery

Positive

"• The practice held regular multidisciplinary team MDT meetings that made use of the Gold Standards Framework for palliative care to discuss all patients on the palliative care register and to update their records accordingly to formalise care agreements."

Positive

"• The practice held palliative care meetings in accordance with the national Gold Standards Framework GSF involving district nurses GP’s and other local services as needed."

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

"The clinical team consists of six male and three female GP partners a female salaried GP a lead practice nurse two additional practice nurses and a health care assistant."

Positive

"The practice nurse was the infection control clinical lead supported by the deputy practice manager."

Positive

"• The lead nurse provided smoking cessation advice to patients with the option to refer patients to local support groups if preferred."

Positive

"The practice adopted innovative ways of working for example through the recruitment of an Emergency care Practitioner ECP during the winter months to provide same day appointments for patients presenting with minor injuriesillnesses reducing pressures on GP and nurse appointments."

Neutral

"• The practice employed an Emergency Care Practitioner ECP during the winter to provide same day appointments for patients presenting with minor injuriesillnesses reducing pressures on GP and nurse appointments."

Neutral

"During our inspection we: • Spoke with a range of staff including three GP partners the lead nurse a practice nurse the ECP the practice manager and the deputy practice manager."

Neutral

"• The practice held regular safeguarding meetings attended by GPs the practice nurse and health visitor."

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 patients and staff safety."

Positive

"For example the practice had undertaken an audit of patients taking a medication that required regular monitoring to ensure patients were not experiencing adverse side effects."

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 skill mix of staff needed to meet patients’ needs."

Positive

"There is limited staff car parking available to the rear of the practice with designated disabled parking bays."

Positive

"• There were disabled facilities a hearing loop and he practice had a lift for patients and staff with limited mobility to access the first floor."

Positive

"Prior to our inspection the practice submitted applications to appoint a manager and to provide regulated activities for maternity and midwifery services to ensure their registration with us is accurate."

Positive

"Supporting patients to live healthier lives • 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 were signposted to the relevant service."

Positive

"This included ongoing support onetoone meetings coaching and mentoring clinical supervision and facilitation and support for revalidating GPs."

Positive

"There was a health and safety policy available with a poster displayed in the staff kitchen which identified local health and safety representatives."

Neutral

"This covered such topics as safeguarding infection prevention and control fire Are services effective?"

Positive

"The practice felt it was particularly important for the elderly and those with long term conditions to understand the importance of sharing their information."

Positive

"Patient and carer support to cope emotionally with care and treatment The practice maintained dedicated noticeboards for different patient groups such as the elderly those suffering with poor mental health and young adults."

Neutral

"For example we saw that when an alert had been received regarding recommended dosages for a type of medicine the practice ran a search to identify affected patients."