What is the Quality of Facilities at Kepier Medical Practice

Positive

"The practice had a palliative care register and held regular multidisciplinary palliative care meetings to discuss the care and support needs of palliative care patients and their families."

Positive

"The practice had a palliative care register and held regular multidisciplinary meetings to discuss and plan end of life care."

Neutral

"These included patients requiring palliative care carers and those with a longterm and mental health condition or learning disability."

Positive

"The results were then noted on a patients record and a system was in place to ensure results that fell outside of a certain range were reviewed by either a nurse of health care assistant."

Positive

"The practice had recently carried out a smarter working review of nurse appointment availability and duties and had also appointed two prescribing pharmacists to increase GP capacity."

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

"A comprehensive cleaning schedule was in place and the practice nurse told us that informal cleaning audits were carried out on a regular basis."

Positive

"• Carrying out a smarter working review of nurse appointment availability and making improvements to access as a result of this."

Neutral

"• The practice nurse was the infection control lead and carried out infection control audits details of which were recorded on the practice intranet system where they could be viewed by all members of staff."

Neutral

"Patients with a learning disability were routinely offered a longer appointment and an hour long appointment with a GP and a practice nurse for their annual health review • Home visits were available for older patients housebound patients and patients who would benefit from these."

Neutral

"A routine appointment with a nurse was available the same day."

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

"Listening and learning from concerns and complaints The practice had an effective system in place for monitoring dealing with and responding to complaints."

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

"There are two large onsite car parks with dedicated disabled parking bays."

Positive

"The practice was able to demonstrate that it had carried out clinical audit activity to help improve patient outcomes."

Positive

"• The practice carried out clinical audit activity and were able to demonstrate improvements to patient care as a result of this."

Neutral

"There was evidence of clinical audit activity and improvements made as a result of this."

Positive

"This included basic life support health and safety infection control information governance safeguarding and appropriate clinical based training for clinical staff."

Positive

"There was a health and safety policy available and staff were aware of their roles and responsibilities in relation to this."

Positive

"However the practice did not have a formal system in place for carrying out cleaning audits nor for ensuring the privacy curtains in consultation rooms were replaced quarterly in line with their own policy or six monthly in line with recommended guidance."

Positive

"A comprehensive cleaning schedule was in place and the practice nurse told us that informal cleaning audits were carried out on a regular basis."

Positive

"• The practice cleaning schedule stated that the privacy curtains around consultation couches should be cleaned on a quarterly basis yet staff told us that they were only changed annually or if they were stained or visibly dirty."

Positive

"Effective staffing The staff team included GPs nursing managerial pharmacy administration and cleaning staff."

Positive

"This project involved working collaboratively with multiagency practitioners to improve services available locally for elderly patients to reduce the number of nonurgent admissions to hospital."

Positive

"This involved working collaboratively with multiagency practitioners to improve services available locally for elderly patients and reduce the number of nonurgent admissions to hospital."

Positive

"Kepier Medical Practice offers a range of services and clinic appointments including chronic disease management clinics antenatal clinics childhood health surveillance and immunisations travel vaccinations teenage sexual health smoking cessation drug and alcohol dependency and minor surgery."

Neutral

"The practice is a training practice and provides training to GP registrars fully qualified doctors with experience of hospital medicine who are training to become a GP."