What is the Quality of Facilities at Inclusion Healthcare Social Enterprise CIC

Positive

"The chair of the PPG told us that all the staff responded compassionately and were very caring."

Positive

"The practice had a primary care plus nurse who worked as the interface between primary and secondary care and other agencies such as social care."

Positive

"The practice had a primary care plus nurse who works as the interface between primary and secondary care and other agencies such as social care."

Positive

"The clinical team is led by a GP and consists of a Consultant Nurse three female and one male part time GP’s two practice nurses a primary care plus PCP nurse specialist alcohol worker and a health care worker."

Positive

"During our visit we spoke with a range of staff which included the Chief Executive Officer lead GP consultant nurse business and finance director assistant practice manager two practice nurses primary care plus nurse specialist alcohol worker administratorreceptionist health care assistant human resource administrator and the building and premises officer."

Positive

"Appointments were also available with a GP registrar consultant nurse practice nurse and health care support worker."

Positive

"There was a named nurse responsible for followingup patients who did not attend screening."

Positive

"We saw minutes of nurse meetings where new guidelines were disseminated the implications for the practice’s performance and patients were discussed and required actions agreed."

Positive

"The GPs told us the senior practice nurse was the dedicated lead for chronic disease management."

Neutral

"A PCP nurse works with hostels local hospitals and in the community."

Neutral

"The practice had a lead nurse for long term conditions who had completed training for example in lung function testing."

Neutral

"The practice had three independent nurse prescribers."

Neutral

"Independent nurse prescribers are specially trained nurses allowed to prescribe any licensed and unlicensed drugs within their clinical competence."

Neutral

"For example there was a lead nurse for infection control and the senior partner was the lead for safeguarding."

Positive

"Staff we spoke with confirmed that the practice was proactive in providing training and funding for relevant courses for example we spoke with a receptionist who had requested conflict resolution training and this had been facilitated."

Neutral

"We spoke with a receptionist who was able to describe a safeguarding concern they had raised and how they had followed the correct procedure to address the concern."

Positive

"The notes of the practice’s significant event meetings showed that staff had discussed a medical emergency concerning a patient and that practice had learned from this appropriately."

Positive

"Management monitoring and improving outcomes for people Staff from across the practice had key roles in the monitoring and improvement of outcomes for patients."

Positive

"Learning and improvement from safety incidents The practice had a system in place for reporting recording and monitoring significant events incidents and accidents."

Positive

"There was a system in place for the management of high risk medicines which included regular monitoring in line with national guidance."

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

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

Neutral

"We also visited the following branch location where regulated activities are provided : The Dawn Centre Conduit St Leicester."

Positive

"The practice has an identified lead for end of life care EOLC."

Neutral

"The practice held multidisciplinary team meetings weekly to discuss the needs of complex patients e.g. those with end of life care needs or children on the at risk register."

Positive

"All incidents and alerts were collated and reviewed at the six monthly clinical governance meetings which ensured that lessons were learnt and staff were kept updated.. We reviewed safety records and incident reports and minutes of meetings where these were discussed."

Positive

"There was an excellent system for completing and learning from clinical audit cycles with learning being shared with the practice and external organisations."

Neutral

"Other examples of clinical audit included the use of pregabalin and low molecular weight heparin."

Neutral

"The team was making use of clinical audit tools clinical supervision and staff meetings to assess the performance of clinical staff."

Neutral

"The team was making use of clinical audit tools clinical supervision and staff meetings to assess the performance of clinical staff."

Positive

"Risks were treated like significant events; they were all logged separately for health and safety one for the location or satellite location."

Positive

"The practice also had a health and safety policy."

Neutral

"We saw there were cleaning schedules in place and cleaning records were kept."

Positive

"Medicines Management We checked medicines stored in the treatment rooms and medicine refrigerators and found they were stored securely and were only accessible to authorised staff."

Positive

"We were shown evidence to confirm that following the receipt of an alert the GPs had reviewed the use of the medicine in question and where they continued to prescribe it outlined the reason why they decided this was necessary."

Neutral

"The learning and change in practice involved a change in medication alongside partnership working with colleagues from the medicine managements department at NHS England local area team."