What is the Quality of Facilities at Cheshire Road Surgery

Neutral

"• GPs the nurse and healthcare assistant all worked extended hours to improve access for patients who would be unable to attend during working hours."

Neutral

"The clinical team is completed by a female fulltime nurse prescriber a female parttime Healthcare Assistant and a parttime pharmacist."

Positive

"The practice nurse audited her own cervical smears to ensure that she practicing safely and effectively."

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 worked with the health visitor to ensure that the latest NICE guidelines for vitamin D deficiency were being implemented in the local Sure Start Centre."

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

"There is also one practice nurse a nurse practitioner and one health care assistant GPs and some reception staff offer in house consultation and translation in; Greek Bulgarian Serbo Croatian Bosnian French Polish Farsi and Urdu to reflect the needs of the current population."

Positive

"There was an emergency on the day of our inspection and we saw that this was managed in a timely professional manner with an onus on teamworking between the reception staff GP and nurse on duty."

Positive

"Following a team meeting clinicians and the nurse prescriber were alerted to this situation to increase their awareness and ensure that medicines were changed as required."

Positive

"For example the practice nurse told us how she would use pictorial consultation cards in conjunction with the Mental Capacity Act for patients with a learning disability to gain their consent for medical procedures."

Positive

"• The practice nurse had been on home visits to dress chronic wounds for patients who were housebound and unable to access the surgery."

Positive

"One patient told us how the practice nurse had helped them to stop smoking and how their life had improved because of this."

Positive

"• The practice worked closely with the health visiting team and tissue viability nurse specialist and promoted provision of these services from the surgery premises where possible."

Positive

"For example the practice manager identified that the practice nurse was working above and beyond her then contracted hours and was given the authority to increase these to meet the demand of the service."

Neutral

"During our visit we: • Spoke with a range of staff including; GPs a practice nurse a nurse practitioner the practice manager receptionists and spoke with patients who used the service."

Neutral

"We saw that the practice nurse was undertaking the nurse prescribing course and had recently attended and completed a diploma course on spirometry."

Neutral

"The practice nurse and nurse practitioner were preparing for their own revalidation."

Neutral

"The practice nurse was undertaking her nurse prescribing with the hope that once she is qualified she will be able to take on an extended role in minor illness management."

Positive

"We based our judgement of the quality of care at this service on a combination of: • what we found when we inspected • information from our ongoing monitoring of data about services and • information from the provider patients the public and other organisations."

Positive

"We rated the practice as requires improvement for providing effective services because: • The practice’s performance for monitoring and review of patients with longterm conditions was in some areas below or significantly below local and national averages."

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."

Positive

"Areas for improvement Action the service SHOULD take to improve • The practice should be monitoring appropriate training for non clinical staff which should be kept up to date."

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

"However there were areas where the provider should make improvements; • The practice should be monitoring appropriate training for non clinical staff which should be kept up to date."

Positive

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

Positive

"These included completed audits on high risk medicine monitoring patients receiving home oxygen and managing safety alerts."

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 surgery has good transport links and there is a pharmacy located nearby."

Positive

"The areas where the provider should make improvements are: • Continue to work to improve uptake of its cancer screening programmes for the benefit of those patient groups."

Positive

"We were told that the lower rate for bowel cancer screening was likely to be caused by the high population of patients who could not speak English becoming confused as to how use the screening packs sent to them through the post."

Positive

"For example the practice liaised with the local out of hours service to ensure that patients with palliative care needs were provided with the care they needed during times when the surgery was closed."

Positive

"We observed that there was good teamworking when an unforeseen medical emergency occurred during our inspection where staff roles and responsibilities complemented each other."

Neutral

"There is disabled parking available outside the surgery."

Neutral

"• There were disabled facilities in the practice disabled parking and translation services were available."

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

"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."

Neutral

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

Neutral

"A note was put on their prescription and any elderly patients were contacted via telephone to be made aware of the change."

Neutral

"The practice identified those individuals in their elderly population who may be lonely and offered them a routine home visit to assess which support they may need."

Positive

"These included completed audits on high risk medicine monitoring patients receiving home oxygen and managing safety alerts."