What is the Quality of Facilities at Heatherbrook Surgery

Positive

"• The practices’ uptake for breast and bowel cancer screening was in line the national average."

Positive

"Action was being taken to mitigate risk associated with planned changes in the staff complement: a female GP had retired recently and the practice nurse was leaving."

Positive

"It was in the process of recruiting a replacement practice nurse or an advanced nurse practitioner and was considering recruiting an additional healthcare assistant."

Positive

"The practice was developing the healthcare assistant and advanced nurse practitioner role within the clinical team for example."

Positive

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

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 and mix of staff needed."

Neutral

"The provider was monitoring patients’ responses to these changes for example what they thought of the new female GP locum."

Positive

"All patient areas and facilities are on the ground floor and are wheelchair accessible."

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

"This included an induction process appraisals clinical supervision and support for revalidation."

Positive

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

Positive

"Exception reporting is the removal of patients from QOF calculations where for example the patients decline or do not respond to invitations to attend a review of their condition or when a medicine is not appropriate."

Positive

"The anticoagulation medicine and twoweek urgent referral pathway audits were examples of twocycle audits in which checks had been repeated and shown changes in practice had resulted in improved outcomes for patients."

Neutral

"• To check it was following national guidance such as reviewing anticoagulation medicine for patients prescribed warfarin for stroke prevention in nonvalvular atrial fibrillation."