What is the Quality of Facilities at The Practice Harehills Corner

Positive

"Clinical services are provided by three salaried GPs two male one female one Advanced Nurse Practitioner nurse prescriber female one practice nursenurse prescriber female one practice nurse female and one health care assistant female."

Positive

"Alongside this GP is a part time female practice nurse and a part time female health care assistant."

Positive

"The practice nurse was responsible for carrying out both temperature and stock control checks."

Positive

"The practice nurse was supported to maintain their record of Continuing Professional Development CPD."

Positive

"The practice nurse was the long term conditions lead LTC these included diabetes asthma and chronic obstructive pulmonary disease COPD."

Positive

"The practice nurse told us and we saw on the computerised system how the practice carried out monthly monitoring of patients taking ‘high risk drugs’ to ensure they received their recalls to the practice."

Neutral

"A wide range of practice nurse led clinics are available for patients at the practice."

Neutral

"The nurse used patient group directives PGD."

Neutral

"The practice nurse team led on the management of longterm conditions LTCs of the patients in the practice."

Positive

"• Staff encouraged and supported patients to be involved in monitoring and managing their own health."

Positive

"• Arrangements were in place for planning and monitoring the number and mix of staff needed to meet patients’ needs including planning for holidays sickness busy periods and epidemics."

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."

Positive

"Learning and improvement from safety incidents The Practice had a system in place for reporting recording and monitoring significant events and there were up to date policies in place."

Positive

"Management monitoring and improving outcomes for people Information about the outcomes of patients’ care and treatment were routinely collected by the practice."

Positive

"Clinical audits in relation to antibiotic prescribing and the Local Enhanced Service for monitoring Amber drugs agreement had been completed and a review of outcomes and the effectiveness of any action taken had also been completed."

Positive

"Each clinical lead had systems for monitoring their areas of responsibility such as routine checks to ensure staff were using the latest guidance and protocols in their treatment of patients."

Positive

"The practice nurse told us and we saw on the computerised system how the practice carried out monthly monitoring of patients taking ‘high risk drugs’ to ensure they received their recalls to the practice."

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 procedures in place for GP reviews and the monitoring of patients on long term medicine therapy."

Positive

"The building was accessible for those with a physical disability and parking was available on nearby streets."

Neutral

"There is disabled access at the front of the building and on street parking is available."

Positive

"The health care assistant was the dementia lead and they both discussed activities to monitor and improve patient’s outcomes with the GPs."

Positive

"Staff were involved in activities to monitor and improve patients’ outcomes."

Positive

"• Continue to review and support the improvement of bowel and breast cancer screening rates."

Positive

"• The practice’s uptake for breast and bowel cancer screening was below the local and national averages."

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."

Positive

"Safety was monitored using information from a range of sources including the QOF patient survey results patient feedback forms the PPG clinical audit appraisals professional development planning education and training."

Neutral

"This included one to one meetings appraisals coaching and mentoring clinical supervision and revalidation."

Positive

"• There were comprehensive health and safety risk assessments and legionella assessments in place."

Positive

"The practice had a health and safety emergency evacuation procedure in place."

Positive

"We were able to review staff training records and we saw that this covered a wide range of topics such as equality and diversity health and safety and infection control."

Positive

"This was both an infection prevention and control risk and a patient confidentiality risk."

Neutral

"• There was a system to manage infection prevention and control IPC and a clinical lead had been appointed to oversee this service area."

Positive

"• The practice shared clear and accurate information with relevant professionals when discussing care delivery for people with longterm conditions and when coordinating healthcare for vulnerable patients such as the frail elderly and care home residents."

Positive

"• The practice had pharmacist support within the practice to carry out medicine reviews support medicines optimisation work and offer specialist advice when required."

Positive

"• The practice acted on and learned from external safety events as well as patient and medicine safety alerts."

Positive

"There were appropriately stocked medicine and equipment bags ready for doctors to take on home visits."

Positive

"PGDs are specific written instructions which allow some registered health professionals to supply andor administer a specified medicine to a predefined group of patients without them having to see a doctor for treatment."

Neutral

"The GPs and nurses had lead roles such as medicine lead and infection control lead."

Neutral

"There were procedures in place for GP reviews and the monitoring of patients on long term medicine therapy."

Positive

"Patientcarer support to cope emotionally with care and treatment We were told the regular palliative care meetings with clinical staff and community health professionals discussed patients their carers and their need for support."

Positive

"Monthly meetings were held and a member of the palliative care team also attended."

Positive

"The practice manager told us how they had been supported to develop from a receptionist role to their current role."

Positive

"There was a clinical governance and quality assurance policy in place."

Positive

"Colour coded cleaning cloths and mops were used to avoid the risk of cross contaminationinfection."

Neutral

"In addition the practice undertook audits of cleaning compliance every month and we saw evidence of actions taken."

Neutral

"When changes were requested to patients’ prescriptions by other health professionals such as NHS consultants andor following hospital discharge the practice updated their records to reflect this."