What is the Quality of Facilities at New Eltham Medical Centre

Positive

"• The practice nurse was the infection prevention and control IPC 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

"GPs and nurses had lead roles in key areas for example the GP partners were the leads for safeguarding children and vulnerable adults the practice nurse was the lead for infection prevention and control and the practice manager was the lead for information governance."

Positive

"They used the findings from this resource needs audit to make decisions about their staffing arrangements going forward: this led to an increase by five sessions per week for GP sessions and an increase by one session for nurse sessions per week."

Neutral

"The practice has one full time practice manager a recently appointed deputy practice manager and the rest of the practice team consists of one full time practice nurse one part time sessional practice nurse and ten administrative staff consisting of medical secretaries reception staff clerks and typist."

Neutral

"During our visit we: • Spoke with a range of staff GP Partners practice manager practice nurse healthcare assistant and administrative staff and spoke with patients who used the service."

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 where appropriate recorded the outcome of the assessment."

Positive

"However we were told that the sessional nurse was off sick but no arrangements had been put in place to offer support to the nurse."

Neutral

"The practices have two part time practice managers; the rest of the practice team consists of one full time practice nurse one part time sessional practice nurse and eight administrative staff consisting of medical secretaries’ reception staff clerks and typist."

Neutral

"The practice reported that the nurse was the lead for infection control but when we spoke to the nurse they felt that they had taken on this role informally and they had not been nominated."

Neutral

"The practice GPs told us that they were taking on some of the appointments for flu vaccines and we saw these booked in but the nurse advised us that they were working beyond their time and did not feel supported."

Neutral

"However the practice nurse was not aware that they were the appointed infection control lead for the practice."

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

"Monitoring risks to patients There were procedures for assessing monitoring and managing risks to patient and staff safety."

Positive

"For example there were checks completed to ensure the safety of premises and equipment and there was planning and monitoring of staffing levels."

Positive

"The remaining patients who did not have documented monitoring arrangements were followed up and the practice was able to verify and update their records to show that they were being followed up at community anti coagulation clinics their care was transferred out of the area or they were home monitoring."

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

"There were cleaning schedules and monitoring systems in place."

Neutral

"• There were arrangements for planning and monitoring the number of staff and mix of staff needed to meet patients’ needs."

Positive

"Management monitoring and improving outcomes for people The practice used the information collected for the Quality Outcomes Framework QOF and performance against national screening programmes to monitor outcomes for patients."

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

"The practice is registered with the Care Quality Commission CQC as a partnership to provide the regulated activities of: treatment of disease disorder or injury; diagnostic and screening procedures family planning; and maternity and midwifery services."

Positive

"The practices are registered as a partnership with the Care Quality Commission CQC to provide the regulated activities of: treatment of disease disorder or injury; diagnostic and screening procedures and family planning services; and maternity and midwifery services at two locations."

Positive

"• The practice identified at an early stage older patients who may need palliative care as they were approaching the end of life."

Positive

"• Patient areas in the practice were wheelchair accessible."

Positive

"There were early and ongoing conversations with these patients about their end of life care as part of their wider treatment and care planning."

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

"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 Childhood immunisation rates for the vaccinations given were comparable to national averages."

Positive

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

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."

Positive

"• Ensure that health and safety building checks are undertaken and staff are adequately trained and updated in Fire safety."

Positive

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

Positive

"The practice had also not carried out regular building health and safety checks."

Neutral

"• The practice had an induction programme for newly appointed nonclinical members of staff that covered such topics as safeguarding infection prevention and control fire safety health and safety and confidentiality."

Positive

"• The practice nurse was the infection prevention and control IPC clinical lead who liaised with the local infection prevention teams to keep up to date with best practice."

Positive

"GPs and nurses had lead roles in key areas for example the GP partners were the leads for safeguarding children and vulnerable adults the practice nurse was the lead for infection prevention and control and the practice manager was the lead for information governance."

Neutral

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

Neutral

"• The practice had an induction programme for newly appointed nonclinical members of staff that covered such topics as safeguarding infection prevention and control fire safety health and safety and confidentiality."

Neutral

"There were cleaning schedules and monitoring systems in place."