What is the Quality of Facilities at Dr James Lawrie

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

"• 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

"However not all staff had annual basic life support training and some Patient Specific Directions were not in place to enable the nurse to administer specific injectable medicines."

Neutral

"The team included a GP specialist adviser a practice nurse specialist adviser a practice manager specialist adviser and a second CQC Inspector."

Neutral

"During our visit we: • Spoke with a range of staff including the lead individual GP salaried GPs practice nurse practice manager and administrative and reception staff and spoke with patients who used the service."

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."

Positive

"• The practice had a selfcheck blood pressure monitoring machine for patients in the reception area."

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

"It is registered with the Care Quality Commission to carry on the regulated activities of Maternity and midwifery services Family planning services Surgical procedures Treatment of disease disorder or injury and Diagnostic and screening procedures."

Positive

"For example the prescribing policy was reviewed following a safety incident involving a high risk medicine and all staff were trained on the new policy."

Neutral

"For example one member of receptionist staff had taken the lead with the team to chase up patients referrals and blood and other test results."

Positive

"This included ongoing support during sessions onetoone meetings appraisals 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

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

Neutral

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