What is the Quality of Facilities at Kingston Health Centre

Positive

"• The practice liaised with community services such as district nurses the local rapid response team and palliative care team to provide a complete package of care to these patients."

Positive

"The practice nurse was the infection control clinical lead who liaised with the local infection prevention teams to keep up to date with best practice."

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

"In addition the practice also has one female Advanced Nurse Practitioner who provides eight sessions per week two part time female nurses and one part time healthcare assistant."

Neutral

"In total there are two treatment rooms one nurse consultation room and six GP consultation rooms."

Neutral

"In response to feedback from patients the practice had also introduced extended hours nurse appointments additional phlebotomy sessions and a fasttrack contraceptive pill service."

Positive

"The areas where the provider should make improvement are: • Ensure that the new system for monitoring the use of PGDs is robust and effective and ensure that arrangements for the safe storage of medicines are adhered to."

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 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

"Car parking is available on in the surrounding streets and in a nearby car park."

Positive

"The entrance is situated on the ground floor with stairs and a lift to the first floor which has a reception desk for patients wishing to hand in repeat prescription requests and samples and three consulting rooms which are used by community services such as midwives and counsellors."

Neutral

"There is a further staircase and lift to the second floor where the main reception desk and waiting area is situated along with the consultation rooms clean and dirty utility rooms and administrative areas."

Positive

"The practice is registered as a partnership with the Care Quality Commission to provide the regulated activities of diagnostic and screening services; maternity and midwifery services; treatment of disease disorder or injury; surgical procedures; and family planning."

Positive

"For example they had identified the need for the CCG to commission specialist wound care provision and successfully made a case to the CCG for this to be provided."

Positive

"For example they had successfully campaigned for the a paediatrician to be part of the eating disorders team and for the provision of a complex dressing service for patients with challenging wound care needs."

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 which identified local health and safety representatives."

Neutral

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

Neutral

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

Positive

"For example a significant event was recorded where a member of reception staff had walked an elderly patient home having become aware that the patient was nervous about walking home alone in the dark."

Positive

"Reception staff explained that if they had any concerns about a patient particularly those who were elderly or vulnerable they would alert one of the GPs and staff commented that in these situations they felt that their opinion was respected by clinical staff and that their concerns were acted on."

Positive

"For example the practice had carriedout an audit of the care provided to patients taking medicine for attention deficit hyperactivity disorder ADHD to check that these patients were receiving the necessary monitoring."