What is the Quality of Facilities at Freuchen Medical 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

"• 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

"For example as a result of feedback the practice had introduced a triage system run by the nurse practitioner upgraded the telephone system and provided extended hours to improve access."

Positive

"The practice was aware of this and they had introduced nurse practitioner slots for urgent appointments which they felt would improve overall waiting times."

Neutral

"During our visit we: • Spoke with a range of staff three GPs the nurse practitioner the practice nurse the healthcare assistant the practice manager and two nonclinical staff and spoke with patients who used the service."

Positive

"Doctors and the nurse had regular meetings and went on joint visits when appropriate with the community nurses for patients on the end of life care register and palliative care nurses for those on the palliative care register."

Positive

"GPs and the practice nurse received appropriate appraisals and peer support arrangements were also in place."

Positive

"The nurse gave us an example of how they had explained procedures through pictures for a vulnerable adult patient with a learning disability to ensure they understood."

Positive

"There are four GP partners two male who are parttime and two female one long term locum GP a full time female practice nurse and health care assistant HCA practice manager assistant practice manager and nine receptionadministration staff."

Positive

"We spoke with a district nurse who works with the practice in caring for patients in the community."

Positive

"The GP and nurse said they always involved patients in their own treatment and care."

Neutral

"During our visit we spoke with a range of staff four GP partners practice nurse HCA practice manager assistant practice manager and two administrationreception staff."

Neutral

"We spoke to the nurse and she confirmed that they had the refrigerator company contact details in a folder."

Neutral

"The nurse told us they completed a practice nurse’s course."

Neutral

"All staff received annual appraisals and the nurse was appraised by one of the GP partners."

Neutral

"They had regular multidisciplinary meetings and the district nurse said the practice listened to their concerns and kept them informed of updates concerning patients."

Neutral

"Proactive care planning was in place for patients at high risk of unplanned hospital admission and a district nurse we spoke to told us that they and other healthcare professionals met regularly with clinical staff to reduce this risk."

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

"Our key findings were as follows: • safe systems were in place to monitor and manage individual patient care and safety • care was planned and delivered effectively and patients underwent regular monitoring and medicines reviews • patients reported that they felt listened to and involved in decision making."

Positive

"Management monitoring and improving outcomes for people We saw that data sources medicines management information safety alerts or as a result of Quality and Outcomes Framework QOF performance were used to gather information about patient experience quality and performance."

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

"We saw evidence that improvements to performance had been made as a result of some audits but others did not demonstrate monitoring and review with a conclusion to identify what actions had been taken."

Neutral

"One receptionist had trained and worked part of the time as a healthcare assistant and phlebotomist within the practice."

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 and smoking and alcohol cessation."

Positive

"Doctors and the nurse had regular meetings and went on joint visits when appropriate with the community nurses for patients on the end of life care register and palliative care nurses for those on the palliative care register."

Positive

"Monthly meetings were held with community nurses and quarterly meeting for patients who were on end of life care plans."

Positive

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

Positive

"This covered such topics as health and safety and confidentiality."

Positive

"The practice had carried out a health and safety risk assessment which detailed risks to staff and patients such as slipping and tripping on cables or objects left on the floor and actions taken to minimise those risks."

Positive

"Staff had roles and responsibilities that included taking a lead role in key areas in the practice such as safeguarding children and vulnerable adults infection prevention and control health and safety and areas of clinical expertise."

Positive

"Doctors and the nurse had regular meetings and went on joint visits when appropriate with the community nurses for patients on the end of life care register and palliative care nurses for those on the palliative care register."

Positive

"There were regular meetingsjoint visits with palliative care nurses for those on the palliative care register."

Positive

"There was no lift and doctors used the ground floor consulting rooms for those patients with poor mobility who were unable to climb the stairs."

Positive

"Staff had roles and responsibilities that included taking a lead role in key areas in the practice such as safeguarding children and vulnerable adults infection prevention and control health and safety and areas of clinical expertise."

Positive

"A cleaner who had received infection control training attended every working day and followed a cleaning schedule which included daily weekly and monthly tasks."

Positive

"There were procedures on body fluid spillage environmental cleaning and clinical waste disposal."