What is the Quality of Facilities at Bruce Grove Primary Health Care Centre

Positive

"The practice nurse was the infection control clinical lead who liaised with the local infection prevention teams to keep up to date with best practice."

Positive

"The practice nurse was the infection control clinical lead who liaised with the local infection prevention teams to keep up to date with best practice."

Positive

"However a weekly nurse led diabetes clinic had been established in order to help boost their scores."

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."

Neutral

"The team included a GP specialist adviser and a practice nurse specialist adviser."

Neutral

"The staff team comprises two GP partners male and female both working nine sessions a week a female salaried GP working nine sessions a week a female practice nurse working twenty hours a week two part time practice managers secretarial and reception staff."

Neutral

"During our visit we: • Spoke with a range of staff GPs practice managers nurse and administrative staff and spoke with patients who used the service."

Positive

"The nurse was supported by the health care assistant who provided blood tests blood pressure monitoring baby checks including height and weight in conjunction with the Are services effective?"

Positive

"In addition no regular palliative care meeting was held but if it was deemed that a patient was in need of the service a meeting with the palliative care nurse would be arranged on an informal basis."

Positive

"Staff informed that the practice nurse had good links with external agencies but there was very little formality."

Positive

"The GPs are supported by a practice nurse two practice managers and a team of administrative staff."

Positive

"The practice worked with the local mental health team midwives health visitors district nurse and palliative care nurse to provide a joint approach."

Positive

"For example we were told that multidisciplinary team meetings with the mental health team and palliative care nurse took place."

Positive

"Vaccines were administered by the practice nurse in line with legal requirements and national guidance."

Positive

"The sharing of information with other professionals such as the district nurse and the mental health team was on an informal basis with no minutes of meetings held."

Neutral

"The practice nurse offered a wide variety of clinics including travel advice and vaccination childhood immunisations including baby lifestyle advice and spirometry."

Neutral

"The nurse identified appropriate patients for a cervical smear and invited them for screening."

Neutral

"For example there was a lead nurse for infection control."

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."

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."

Positive

"The nurse was supported by the health care assistant who provided blood tests blood pressure monitoring baby checks including height and weight in conjunction with the Are services effective?"

Positive

"The intelligent monitoring tool draws on existing national data sources and includes indicators covering a range of GP practice activity and patient experience including the Quality Outcomes Framework QOF and the National Patient Survey."

Positive

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

Positive

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

Positive

"We found that staff were monitoring and recording temperatures daily and reporting any deviation from the Are services safe?"

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 the mix of staff needed to meet patient’s needs."

Positive

"The practice is registered to provide the following regulated activities which we inspected: treatment of disease disorder or injury diagnostic and screening procedures and maternity and midwifery services."

Positive

"The practice is registered to provide the following regulated activities which we inspected: treatment of disease disorder or injury; diagnostic and screening procedures and maternity and midwifery services."

Positive

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

Positive

"• Ensure there was a programme of continuous clinical audit used to improve patient outcomes."

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."

Positive

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

Positive

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

Positive

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

Neutral

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

Positive

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

Neutral

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

Positive

"The practice also had a health and safety policy and we noted that health and safety information was displayed throughout the practice."

Positive

"These included a health and safety risk assessment of the building and environment."

Neutral

"• An infection prevention and control audit had taken place and an action plan had been developed to address the issues outlined in the audit."

Neutral

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

Neutral

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

Neutral

"A cleaning schedule was present for both the cleaning of the premises and for the cleaning of hand held clinical equipment such as spirometer nebuliser and ear irrigator."

Positive

"There was no schedule for the cleaning of hand held clinical equipment such as spirometer nebuliser and ear irrigator."

Positive

"• No schedule was present for the cleaning of handheld clinical equipment such as spirometer and ear irrigator."

Positive

"A cleaning schedule was present for the cleaning of the premises; however there was no schedule present for the cleaning of hand held clinical equipment such as spirometer nebuliser and ear irrigator."

Neutral

"• Produce a schedule for the cleaning of hand held clinical equipment."

Positive

"• Ensure that cleaning schedules for hand held clinical equipment were in place."

Positive

"A note would be left for the cleaner of any issues within the cleaning that was found."

Neutral

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

Neutral

"We did not find any evidence that the practice had undertaken an infection control audit to monitor cleaning standards."

Neutral

"We were informed that cleaning was monitored on an ad hoc basis."

Positive

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

Neutral

"Blood test and xray results hospital letters and information from out of hour’s providers were received electronically and by post."

Positive

"In addition no regular palliative care meeting was held but if it was deemed that a patient was in need of the service a meeting with the palliative care nurse would be arranged on an informal basis."

Positive

"Meetings with the palliative care team were taking place and called to discuss individual patients when the need arose."

Positive

"The practice worked with the local mental health team midwives health visitors district nurse and palliative care nurse to provide a joint approach."

Positive

"For example we were told that multidisciplinary team meetings with the mental health team and palliative care nurse took place."

Positive

"No lift was present but consultation rooms were situated on both floors."

Positive

"The practice was situated on the ground and first floor of the building with easy access for wheelchair users and those with mobility scooters."

Neutral

"Clinical staff had received a disclosure and barring service DBS check but we noted that a DBS check had not been completed for administrative staff that carried out chaperone duties."