What is the Quality of Facilities at West Derby Medical Centre

Positive

"However the management arrangements and records of monitoring systems to improve quality and identify safety risks needed improving."

Positive

"• The management arrangements and records of monitoring systems to improve quality and identify safety risks needed improving."

Positive

"The areas where the provider must make improvements are: • Ensure risk assessments required by health and safety legislation are completed; and improve on quality assurance and monitoring systems and related records."

Positive

"Fridge temperatures were checked on a daily basis for the storage of vaccinations but the monitoring of this was poor and did not highlight what happened when temperatures were recorded out of range."

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

"• Monitoring systems for quality assurance and safety and related records required improvement for example monitoring and recording information about verbal complaints monitoring patient safety alerts monitoring uncollected prescriptions monitoring patient group directives for vaccinations and monitoring fridge temperatures."

Positive

"• Some monitoring systems in place but these required improvement for example monitoring patient safety alerts monitoring uncollected prescriptions and monitoring fridge temperatures."

Positive

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

Positive

"There were no monitoring systems or records of any actions taken as a result of verbal complaints."

Positive

"• Reviewed information from CQC intelligent monitoring systems."

Positive

"It was not clear who had accountability to check the monitoring systems used."

Positive

"• Some monitoring systems in place but the management and records for this required improvement for example monitoring verbal complaints monitoring patient safety alerts monitoring uncollected prescriptions and monitoring fridge temperatures."

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

"For example the practice had: • Not completed some risk assessments to monitor safety of the premises required by health and safety legislation such as control of substances hazardous to health COSHH display screen risk assessments for staff and disabled access."

Positive

"• Not completed some risk assessments to monitor safety of the premises required by health and safety legislation such as control of substances hazardous to health COSHH display screen risk assessments for staff and disabled access."

Positive

"The areas where the provider must make improvements are: • Ensure risk assessments required by health and safety legislation are completed; and improve on quality assurance and monitoring systems and related records."

Positive

"There was a health and safety policy available with a poster in a staff Are services safe?"

Neutral

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

Positive

"Guest speakers were invited to attend clinical meetings and recent meetings had included for example training in palliative care."

Positive

"Other meetings included: monthly palliative care meetings with other healthcare professionals and monthly administration team meetings and performance meetings."

Positive

"In addition to prebookable appointments that could be booked up to six weeks in advance with the practice nurse and two weeks in advance with the GP; urgent appointments were also available for patients that needed them."

Neutral

"All receptionists had received training regarding the different aspects of being a receptionist from dealing with confidentiality how to speak to patients face to face and via the telephone dealing with partially sighted patients and role play."

Positive

"However there was limited car parking facilities."

Positive

"There were early and ongoing conversations with these patients about their end of life care as part of their wider treatment and care planning."

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."

Neutral

"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."

Neutral

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

Neutral

"Monitoring systems and cleaning schedules were in place."