What is the Quality of Facilities at Dr Htun Nay Lin, Mattock Lane Health Centre

Positive

"• The practice identified at an early stage older patients who may need palliative care as they were approaching the end of life."

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 patients we spoke to during the inspection said that the GP and nurse always involved them in decisions about their care."

Positive

"The practice nurse was on maternity leave and the practice had employed a regular locum nurse to cover."

Neutral

"The clinical team at the surgery is made up of a lead male GP and two long term male locum GPs one female practice nurse and one female healthcare assistant."

Neutral

"• We spoke to the locum practice nurse over phone as they were not available to speak in person."

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 risks to patients There were procedures for assessing 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

"• The practice had a system for monitoring repeat prescribing for patients receiving medicines for mental health needs."

Neutral

"There were cleaning schedules and monitoring systems in place."

Neutral

"• There were arrangements for planning and monitoring the number of staff and mix of staff needed to meet patients’ needs."

Neutral

"They also offered electrocardiography phlebotomy near patient monitoring and spirometry."

Positive

"All patient facilities are wheelchair accessible."

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 and those with dementia."

Neutral

"They provided simple and complex wound care and identified patients who were at high risk of diabetes."

Positive

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

Positive

"• There was a health and safety policy available."

Positive

"• The practice had not undertaken a health and safety risk assessment of the premises."

Positive

"The practice said this was because they operated in a health centre where the health and safety risk assessments were centrally undertaken and monitored; however we did not see any evidence to support this."

Positive

"The day following the inspection the practice sent us a copy of a detailed health and safety risk assessment of their premises."

Neutral

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

Positive

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

Neutral

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

Neutral

"There were cleaning schedules and monitoring systems in place."

Positive

"The practice did not have rectal diazepam medicine used to control seizures one of the emergency medicines."

Neutral

"PSDs are written instructions from a qualified and registered prescriber for a medicine including the dose route and frequency or appliance to be supplied or administered to a named patient after the prescriber has assessed the patient on an individual basis."