What is the Quality of Facilities at Queens Road Surgery

Positive

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

Positive

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

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."

Neutral

"During our visit we: • Spoke with a range of staff The Clinical Director GPs the practice nurse and healthcare assistant the practice manager and reception and administrative staff and spoke with patients who used the service."

Neutral

"Staff who administered vaccines could demonstrate how they stayed up to date with changes to the immunisation programmes for example by access to on line resources and discussion at practice meetings and nurse forums both within the locality and those hosted by AT Medics."

Positive

"One receptionist we spoke with on the day told us that they would refer people to the pharmacy for some minor ailments without clinical advice and we confirmed there were no protocols or guidance in place to enable them to do this."

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."

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 had a system for monitoring repeat prescribing for patients receiving medicines for mental health needs."

Neutral

"A daily search was undertaken by administrative staff to ensure that all urgent referrals had been tasked sent and logged on their monitoring spreadsheet."

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

"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

"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."

Positive

"This included ongoing support onetoone meetings coaching and mentoring clinical supervision for the pharmacist and practice nurse 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

"• 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."

Neutral

"This 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."