What is the Quality of Facilities at Grafton Medical Partners

Positive

"The nursing team consists of a full time female practice nurse with support from other practice nurses in the group where required."

Positive

"There was reliance on the practice nurse based at the site and the other team members were not clear about her duties in order to ensure risks were mitigated safely."

Neutral

"The practice has access to three doctors’ consultation rooms and one nurse consultation room."

Neutral

"A practice nurse from another Grafton Medical Partners practice was the infection control lead for all sites."

Neutral

"There was no system to ensure adequate vaccine management took place when the practice nurse was on leave; that temperatures had been checked and were within range."

Positive

"• The practice had also conducted audits of patients with atrial fibrillation an irregular heart rhythm compared with best practice guidance the practice had improved awareness amongst clinicians and developed a template to use on the practice computer system to improve monitoring of patients with atrial fibrillation."

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

"• There were systems in place for monitoring and recording staff training and maintaining personnel records however we found some mandatory training had not been undertaken."

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 provided an inhouse anticoagulation monitoring service for practice patients."

Neutral

"• Arrangements were in place for planning and monitoring the number of staff and mix of staff needed to meet patients’ needs."

Neutral

"• The practice provided an anticoagulation monitoring service for practice patients."

Positive

"The practice is registered with the CQC for the following regulated activities Diagnostic and screening procedures; Maternity and midwifery services and Treatment of disease disorder or injury."

Positive

"Meetings took place with other health care professionals on a monthly basis when care plans were routinely reviewed and updated for patients with complex needs for example for patients on the palliative register and patients with mental health conditions."

Positive

"• The practice had a lift installed to improve access for people in wheelchairs or parents with pushchairs."

Neutral

"For example the practice had a special modified lift to facilitate wheelchair users or parents with pushchairs."

Neutral

"For example the practice had a special modified lift to facilitate wheelchair users or parents with pushchairs."

Positive

"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 learning disabilities."

Positive

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

Positive

"A health and safety risk assessment had not been undertaken however one had been booked to take place after the inspection."

Positive

"There was a health and safety policy available."

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."