What is the Quality of Facilities at Belmont Hill Surgery

Positive

"• Where a patient’s mental capacity to consent to care or treatment was unclear the GP or practice nurse assessed the patient’s capacity and recorded the outcome of the assessment."

Positive

"The clinical team is supported by a parttime nurse practitioner a fulltime practice nurse and a phlebotomist."

Positive

"The practice was a registered Yellow Fever vaccine centre and we saw evidence of practice nurse training."

Positive

"The outcome included promoting the variety of appointments available with the advanced nurse practitioner and training a receptionist as a phlebotomist which resulted in an additional weekly phlebotomy clinic."

Neutral

"Both doctor and nurse appointments are available at these sessions."

Neutral

"During our visit we: • Spoke with a range of staff GP partners salaried GP practice nurse practice manager receptionists and spoke with patients who used the service."

Neutral

"• The practice nurse was the infection control clinical lead who told us she had taken over the role two weeks previously from a GP partner."

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

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

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."

Neutral

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

Positive

"• Although risks to patients who used services were assessed the systems and processes to address these risks were not in all instances implemented well enough to ensure patients were kept safe specifically in relation to infection control cleaning arrangements and the checking of emergency medical equipment."

Positive

"Areas for improvement Action the service MUST take to improve • Implement actions identified from the infection control audit and review the cleaning arrangements for the practice."

Positive

"This included cleaning and infection control processes within the practice and the checking of emergency medical equipment."

Positive

"• The arrangements for identifying recording and managing risks issues and implementing mitigating actions were not in all instances effective specifically in relation to infection control cleaning arrangements and the checking of emergency medical equipment."

Positive

"We found the cleaning store cupboard did not have adequate segregation of mops and cleaning cloths which posed a risk of crosscontamination."

Positive

"The practice produced a general cleaning specification included in their cleaning contract but there was no cleaning schedule which evidenced cleaning undertaken and frequency."

Positive

"The cleaning specification included the vacuuming of carpets but no reference to deep cleaning of carpeted consultation areas."

Neutral

"The practice told us they used a contract cleaning company."

Neutral

"However the audit did not include review of the cleaning storage area and therefore the findings we noted on the day of inspection were not identified."

Neutral

"• The provider had failed to ensure adequate cleaning arrangements."

Positive

"The practice also encouraged its patients to attend national screening programmes for bowel and breast cancer screening was able to demonstrate a good uptake."

Positive

"The practice supported staff to undertake training and had supported a receptionist to train as a phlebotomist."

Positive

"The outcome included promoting the variety of appointments available with the advanced nurse practitioner and training a receptionist as a phlebotomist which resulted in an additional weekly phlebotomy clinic."

Positive

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

Positive

"• Information leaflets were available in easy read format and there was a television screen in the waiting room running patient information on a loop this included information about chaperoning patient participation group carers online access and comments and complaints."

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 were signposted to the relevant service."

Positive

"This included ongoing support mentoring clinical supervision and facilitation and support for revalidating GPs."

Positive

"There was a health and safety policy available with a poster in the staff kitchen and reception which identified local health and safety representatives."

Neutral

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