What is the Quality of Facilities at Hanscombe House Surgery

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 where appropriate recorded the outcome of the assessment."

Positive

"Emergency appointments are available daily with the duty doctor or nurse practitioner."

Positive

"The form would be discussed at a partner meeting which took place weekly and information and learning would be shared and discussed at practice nurse administration and reception team meetings."

Neutral

"The practice nurse held an annual meeting with the local specialist in diabetes to review the practice caseload."

Neutral

"During our inspection we: Spoke with three GPs one practice nurse one healthcare assistant the practice manager the reception manager a secretary and one receptionist."

Positive

"Management monitoring and improving outcomes for people The practice used the information collected for the Quality 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."

Neutral

"Staff also had access to guidelines from the British Thoracic Society they produce guidelines related to respiratory medicine such as asthma care The practice monitored that these guidelines were followed through risk assessments audits and random sample checks of patient records."

Positive

"• The practice held patient registers for patients requiring extra support and carried out care planning for patients with a learning disability dementia and palliative care needs."

Neutral

"We saw evidence that multidisciplinary team meetings took place on a monthly basis for vulnerable patients and on a six weekly basis for patients requiring palliative care."

Positive

"This included ongoing support during sessions onetoone meetings coaching and mentoring clinical supervision and facilitation and support for the revalidation of doctors."

Positive

"There was a health and safety policy available and the practice had up to date fire risk assessments and carried out regular fire drills."

Positive

"The practice had an induction programme for newly appointed members of staff that covered such topics as safeguarding basic life support equality and diversity fire safety health and safety Are services effective?"

Neutral

"The practice had a GP lead for drug and alcohol dependency who worked closely with local drug and alcohol services and provided direct referrals into the service for patients."