What is the Quality of Facilities at Grays Inn Medical Practice

Positive

"• The practice’s uptake for breast and bowel cancer screening was in line with local CCG averages but below the national average."

Positive

"We were told that the practice had improved the patient recall system by nominating separate administrative leads for each clinical indicator and had reemployed a nurse who had significance experience of supporting patients with mental health conditions."

Positive

"The practice nurse told us they had dedicated time where they were continuing to liaise with families to increase the uptake."

Neutral

"The clinical team is completed by a practice nurse who works part time and two healthcare assistants one of whom works fulltime and the other parttime."

Positive

"• Staff encouraged and supported patients to be involved in monitoring and managing their own health for example through social prescribing schemes."

Positive

"• Arrangements were in place for planning and monitoring the number and mix of staff needed to meet patients’ needs including planning for holidays sickness busy periods and epidemics."

Positive

"People with suspected hypertension were offered ambulatory blood pressure monitoring and patients with atrial fibrillation were assessed for stroke risk and treated as appropriate."

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

"The GP also accommodated home visits for those who had difficulties getting to the practice due to limited local public transport availability."

Positive

"The GP also accommodated home visits for those who had difficulties getting to the practice due to limited local public transport availability."

Positive

"• Staff were clear on their roles and accountabilities including in respect of safeguarding and infection prevention and control • Practice leaders had established policies procedures and activities to ensure safety and assured themselves that they were operating as intended."

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

"This included one to one meetings appraisals coaching and mentoring clinical supervision and revalidation."

Positive

"• Staff were clear on their roles and accountabilities including in respect of safeguarding and infection prevention and control • Practice leaders had established policies procedures and activities to ensure safety and assured themselves that they were operating as intended."

Positive

"• The practice acted on and learned from external safety events as well as patient and medicine safety alerts."

Neutral

"Patients prescribed with a bloodthinning medicine were monitored at a local anticoagulation clinic and were provided with a ‘yellow book’ which was updated after every blood test and reviewed by GPs."

Neutral

"The revised protocol also included a process to audit prescribing of all highrisk medicines including the blood thinning medicine every month."

Neutral

"• At the time of the inspection the practice had recently finalised the recruitment of a fulltime prescribing pharmacist part of whose role was to undertake medicine reviews for patients with long term conditions."

Neutral

"• At the time of the inspection the practice had recently finalised the recruitment of a prescribing pharmacist part of whose responsibilities was to undertake medicine reviews for patients with longterm conditions or whose conditions involved complex treatments."