What is the Quality of Facilities at Church Street Surgery

Positive

"There was a standing agenda which included discussion of significant events achievements compliments and complaints safeguarding palliative care and quality and risk issues."

Positive

"• The practice identified at an early stage older patients who might need palliative care as they were approaching the end of life."

Positive

"The GPs are supported by a pharmacist a site manager two advanced nurse practitioners plus a visiting advanced nurse practitioner five nurses a mental health nurse a phlebotomist two health care assistants and reception and administrative teams."

Positive

"• A specialist home visiting team supported by an advanced nurse practitioner coordinated visits for the housebound patients including care home residents."

Positive

"• A specialised home visiting service supported by an advanced nurse practitioner had been introduced for housebound patients including older people."

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

"An additional practice nurse had been recruited and the phlebotomist was attending a course to qualify as a health care assistant which would increase capacity for appointments with the nursing team."

Positive

"Two of the advanced nurse practitioners nurses had qualified as independent prescribers and the visiting advanced nurse practitioner had qualified as a supplementary prescriber: they could therefore prescribe medicines for clinical conditions within their expertise."

Positive

"An advanced nurse practitioner triaged the requests and assessed whether the patient could be seen by an advanced nurse practitioner or a GP."

Positive

"We were told that a nurse had had a needlestick injury caused by Are services safe?"

Positive

"The practice had experienced difficulties in recruiting staff especially GPs so they had explored different ways of dealing with clinical capacity issues such as employing a pharmacist and advanced nurse practitioners who could take some of the workload from GPs."

Positive

"Separate away days were organised for associate GPs and advanced nurse practitioners."

Positive

"The supportive approach to staff development was evidenced by the fact that a former apprentice was now employed as a receptionist and that the phlebotomist had been mentored through training by the practice."

Neutral

"For example an apprentice receptionist was now employed by the practice."

Neutral

"The practice also participates in a scheme with Kidderminster College to host an apprentice and there is currently one apprentice receptionist working at the practice."

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

"Monitoring risks to patients There were procedures for assessing monitoring and managing risks to patient and staff safety."

Positive

"We saw that the monitoring of patients on high risk medicines was carried out before repeat prescriptions were issued."

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

"There were monthly meetings with the other practices in the WFHP as well as meetings in the locality so that there was regular monitoring of service provision."

Neutral

"• The practice had a system for monitoring repeat prescribing for patients receiving medicines for mental health needs."

Neutral

"For example performance monitoring is done by WFHP staff."

Neutral

"There were cleaning schedules and monitoring systems in place."

Neutral

"• There were arrangements for planning and monitoring the number of staff and mix of staff needed to meet patients’ needs."

Neutral

"The practice was monitoring the situation."

Neutral

"There are disabled car parking spaces on site and public car parking is available at the nearby shopping centre for other patients."

Positive

"The practice is accessible to patients with disabilities and there is a lift to the upper floors patients can only access the ground and first floors."

Neutral

"For example the WFHP had an internet based information storage system."

Neutral

"The plan was uploaded on to the internet based storage system which meant that it was available to view from any location in the WFHP."

Neutral

"• Practice specific policies were implemented and were available to all staff on the internet based storage system."

Positive

"There were early and ongoing conversations with these patients about their end of life care as part of their wider treatment and care planning."

Neutral

"The practice ensured that end of life care was delivered in a coordinated way which took into account the needs of different patients including those who may be vulnerable because of their circumstances."

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

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

Positive

"We saw that health and safety risk assessments were carried out and that action was taken to rectify any issues that had been identified."

Neutral

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

Positive

"• The Wyre Forest Health Partnership lead for infection prevention and control IPC liaised with the local infection prevention teams to keep up to date with best practice."

Neutral

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

Neutral

"There were cleaning schedules and monitoring systems in place."

Positive

"For example the practice carried out an audit on patients who were at risk of pregnancy who were taking a medicine primarily used to treat epilepsy bipolar disorder and to prevent migraine headaches following advice issued by NICE."

Neutral

"A full cycle audit had been completed on patients prescribed a medicine for the treatment of overactive bladder."