What is the Quality of Facilities at Southgates and The Woottons Surgeries

Positive

"Emotional support • Staff provided patients undergoing hernia repair surgery with a telephone call eight weeks postoperatively to ensure that they were not experiencing any problems and had returned to their work and usual activities as expected."

Positive

"The practice worked closely with the diabetic specialist nurse ensuring that patients were treated and supported without the need to travel to the hospital."

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."

Neutral

"The practice offered to host clinics to bring services closer to the patient for example a continence nurse specialist team for drug and alcohol dependency and a midwife attended the practice."

Positive

"The practice worked closely with the diabetic specialist nurse ensuring that patients were treated and supported without the need to travel to the hospital."

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

"There are twelve members of the nursing team including nurse practitioners practice nurses specialist nurses matrons and health care assistants."

Neutral

"The practice offered to host clinics to bring services closer to the patient for example a continence nurse specialist team for drug and alcohol dependency and a midwife attended 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 QOF is a system intended to improve the quality of general practice and reward good practice."

Positive

"• There was a system in place for the management of high risk medicines such as warfarin methotrexate and other disease modifying drugs which included regular monitoring in accordance with national guidance."

Positive

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

Positive

"They used weekly and monthly system searches to ensure all targets were met and monitoring was completed."

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

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 QOF is a system intended to improve the quality of general practice and reward good practice."

Positive

"• We looked at the process for monitoring people who were prescribed high risk medicines."

Positive

"• There were procedures in place for monitoring and managing risks to patient and staff safety."

Positive

"They used weekly and monthly searches to ensure all targets and monitoring were met."

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

"• The practice looked after patients who lived in eight different care homes including an end of life care unit."

Positive

"• The practice looked after patients who lived in eight different care homes including an end of life care unit."

Positive

"Supporting patients to live healthier lives The practice identified patients who may be in need of extra support 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 general manager told us that any policies requiring review went to the nurses meeting or managers meeting for review by relevant members of staff and were then ratified at the clinical governance meeting."

Positive

"The general manager told us that policies were reviewed by relevant staff and were then ratified at the clinical governance meeting."

Positive

"• The general manager told us changes to policy were shared at clinical governance meetings which included representatives from the surgical unit and the GP practice."

Neutral

"They advised that this issue would be discussed at the next clinical governance meeting."

Neutral

"• Incidents were discussed at clinical governance meetings."

Neutral

"• Staff told us they discussed audit results at clinical governance meetings team meetings and management meetings."

Neutral

"Information from clinical governance meetings was passed on to staff verbally at team meetings and through the staff information board."

Neutral

"We saw that policy and procedure was a standing item on the agenda of clinical governance meetings."

Positive

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

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."

Neutral

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

Positive

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

Neutral

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

Positive

"• The practice held drug dependency clinics in shared care arrangements with the Norfolk Recovery Partnership on a regular basis."

Neutral

"The practice offered to host clinics to bring services closer to the patient for example a continence nurse specialist team for drug and alcohol dependency and a midwife attended the practice."

Positive

"The practice held drug dependency clinics in shared care arrangements with the Norfolk Recovery Partnership on a regular basis."

Neutral

"The practice offered to host clinics to bring services closer to the patient for example a continence nurse specialist team for drug and alcohol dependency and a midwife attended the practice."

Positive

"We reviewed an audit undertaken in relation to the patients taking a nonsteroid antiinflammatory medicine and whether they had received appropriate follow up within an appropriate time scale."

Positive

"Records showed medicine refrigerator temperature checks were carried out to ensure medicines and vaccines requiring refrigeration were stored at appropriate temperatures."

Positive

"The audit showed an improvement in the lengthduration of medicine prescribed."

Neutral

"For example a patient had complained about the medicine that had been Are services responsive to people’s needs?"

Positive

"• There was level access to the surgery unit and a wheel chair accessible toilet was available."

Neutral

"• Designated disabled parking was available directly outside the unit."

Positive

"• There was level access to the surgery unit and a wheelchair accessible toilet was available."

Neutral

"• We saw records to show that all staff working in the surgery service had completed disclosure and barring service checks."

Neutral

"The policy was in date for review and included information on personal protective equipment hand hygiene and cleaning of equipment."