What is the Quality of Facilities at Balham Park Surgery

Positive

"Management monitoring and improving outcomes for people The practice had systems in place to monitor and manage outcomes to help provide improved care."

Positive

"Screening services such as smear testing blood pressure monitoring and smoking cessation advice was offered."

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

"One GP partner was responsible for monitoring prescribing within the practice and subsequent costs."

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

"The practice offered patients diagnosed with conditions such as diabetes epilepsy coronary heart disease and chronic obstructive pulmonary disease ongoing care monitoring and they had a lead GP for this."

Neutral

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

Positive

"These meetings were attended by community nurses social workers palliative care nurses and decisions about care planning were documented in a shared care record."

Positive

"Other examples included audits to confirm that the nurse who undertook minor surgical procedures were doing so in line with their registration and National Institute for Health and Care Excellence guidance."

Positive

"One such example was when a practice nurse had noted that a child had a burn and the family had an alert on the system that identified them as being vulnerable."

Positive

"The practice had completed full audit cycles such as inadequate smears and audits to confirm that the nurse who undertook minor surgical procedures were doing so in line with their registration and National Institute for Health and Care Excellence guidance ."

Positive

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

Positive

"The practice also benefited from having a manager who was a partner and nurse partner responsible for nursing and governance respectively."

Positive

"The practice had a clear policy for following up nonattenders by the named practice nurse and GPs."

Positive

"The practice nurse offered a range of health promotion clinics including child immunisations travel information and vaccinations chronic disease management for asthma diabetes epilepsy and HIV."

Neutral

"Specialist mental health services were available at the practice from a specialist nurse and these included drug and substance service and input from a psychologist."

Neutral

"All late nights and Saturdays also have a practice nurse surgery running."

Neutral

"During our visit we spoke with a range of staff including GPs managing partner practice nurse and administrative staff and spoke with patients who used the service."

Neutral

"This was discovered by the nurse during consultation and they alerted the reception manager who ensured this was corrected."

Neutral

"However in cases when this was not possible any GP or nurse who provided care to a child or vulnerable adult had the duty to inform the named GP ."

Neutral

"The practice had records supplied by the practice nurse that showed their registration with the Nursing and Midwifery Council NMC was current."

Neutral

"The practice had access to online and telephone translation services and a GP and nurse who spoke locally used languages."

Neutral

"All late nights and Saturdays have a practice nurse surgery running."

Positive

"The Practice is within walking distance for most patients although parking facilities are limited due to local restrictions."

Neutral

"There was lift access to the first and second floors."

Positive

"this also included a video from the patient group on what happens in their monthly meetings the benefits of attending them and how to get involved in their activities influencing practice decision making."

Positive

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

Positive

"The practice kept information folders that were easily accessible to staff through internet links with guidance from the National Institute for Health and Care Excellence NICE British Medical Journal BMJ and Department of Health DH amongst others."

Positive

"The reception desk included a lowered section suitable for wheelchair users."

Positive

"The practice arranged and held meetings with the community nurses the end of life care team and the hospice on a regular basis."

Neutral

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

Positive

"Following each clinical audit changes to treatment or care were made where needed and the audit repeated to ensure outcomes for patients had improved."

Neutral

"The practice had a system in place for completing clinical audit cycles."

Positive

"The practice had identified health and safety representatives who were responsible for ensuring adequate safety measures were being followed."

Positive

"These included a health and safety risk assessment of the building and the environment by NHS property services."

Positive

"The practice had a health and safety policy."

Positive

"Feedback from surveys resulted in changes to appointment times and availability and the cleaning schedules at the practice had also been increased after findings from the surveys."

Positive

"Staff told us that longer appointments were available to patients that needed them such as elderly patients experiencing poor mental health or those with chronic disease and we saw examples of this on the bookings screens where appointments for up to half an hour had been booked."

Positive

"This was evidence of good access to the practice by patients and the continual needs assessment such as the introduction on winter flu clinics for children and elderly patients."

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 saw evidence to confirm that after receiving 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

"Examples of incidents included were a new patient was booked in as “unregistered patient” for a medicine check with the practice nurse."