What is the Quality of Facilities at Millbank Medical Centre

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

"With a new salaried GP and nurse now established in the practice they anticipated an improvement in results in the next survey."

Positive

"The practice had developed health care assistant and nurse led clinics for reviews stopping smoking and out of hospital services."

Neutral

"During our visit we: • Spoke with a range of staff two partner GPs a trainee GP the practice nurse the practice manager a practice secretary the senior receptionist and one receptionist and spoke with patients who used the service."

Neutral

"During our visit we: • Spoke with a range of staff two partner GPs a trainee GP the practice nurse the practice manager a practice secretary the senior receptionist and one receptionist 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

"Examples included formal training in mental health ring pessary fitting spirometry ambulatory blood pressure monitoring ABPM and near patient testing."

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

"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 in at risk groups including vulnerable children and adults patients with learning disabilities and mental health problems."

Positive

"This included ongoing support onetoone meetings coaching and mentoring 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

"This covered such topics as key policies and procedures fire safety health and safety and confidentiality."

Positive

"One of the medicines recommended in national guidance for epileptic fits was not kept in the emergency kit and there was no documented risk assessment of the reasons for not stocking the medicine excluded."