What is the Quality of Facilities at Pimlico Health @ The Marven

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

"• One GP a nurse and the HCA had had additional training in diabetes and ran weekly dedicated clinics for diabetic patients."

Neutral

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

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

"The most recent data on consultations with the nurses showing worse than CCG and national averages was as a result of the use of locum nurses before the new practice nurse came into post and therefore likely to affect these scores."

Positive

"The nurse was unclear about what to do if the cold chain was broken however she was newly recruited and at the time of inspection she was undergoing induction training."

Positive

"However there was no nurse cover at the branch surgery."

Neutral

"The team included a second CQC inspector a GP specialist adviser a practice nurse specialist adviser and an Expert by Experience."

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 patients 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

"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

"In addition the service provided these patients with an enhanced level of support and monitoring them through annual physical health checks."

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

"They are registered with the Care Quality Commission to provide the regulated activities of diagnostic and screening procedures treatment of disease disorder and injury surgical procedures family planning and maternity and midwifery services."

Neutral

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

Neutral

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

Neutral

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

Positive

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

Positive

"• The practice held registers for patients in receipt of palliative care had complex needs or had long term conditions."

Positive

"The GP palliative care lead attended regular internal as well as monthly Gold Standard Framework GSF meetings with the senior nurses from the hospice community matrons and district nurses."

Positive

"• The practice held registers for patients who were receiving palliative care."

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 and alcohol cessation."

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

"It 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."

Neutral

"PSDs are written instructions from a qualified and registered prescriber for a medicine including the dose route and frequency or appliance to be supplied or administered to a named patient after the prescriber has assessed the patient on an individual basis."

Neutral

"PSDs are written instructions from a qualified and registered prescriber for a medicine including the dose route and frequency or appliance to be supplied or administered to a named patient after the prescriber has assessed the patient on an individual basis."

Positive

"• The practice had lift access as well as stairs to the downstairs area leading to most of the consulting rooms."

Neutral

"In the event of the lift being out of order the practice had ramp access at the back of the building for disabled wheelchair users."

Neutral

"In the event of the lift being out of order the practice had ramp access at the back of the building for disabled wheelchair users."

Positive

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