What is the Quality of Facilities at Streatham High Surgery

Positive

"The practice nurse described to us and showed us the supporting information they provided to expectant mothers so that they were aware of childhood immunisations recommended for their child."

Positive

"The most recent national GP patient survey results showed that patients rated the practice consistently well in all aspects of their service including GP and nurse consultations opening times waiting times reception and out of hours care."

Positive

"The practice nurse had oversight for the management of a number of clinical areas including immunisations cervical cytology and some long term conditions."

Positive

"Management monitoring and improving outcomes for people The practice nurse had oversight for the management of a number of clinical areas including immunisations cervical cytology and some long term conditions."

Positive

"Tackling inequity and promoting equality The practice had access to online and telephone translation services and most of the GPs a practice nurse and several members of the reception team spoke a second language."

Neutral

"During our visit we spoke with a range of staff doctors nurse healthcare assistant practice manager reception and administrative staff and spoke with patients who used the service."

Neutral

"The practice had a lead for infection prevention and control the practice nurse who had undertaken further training to enable them to provide advice on the practice infection control policy and audit the infection prevention and control arrangements."

Neutral

"The practice used a staffing model to calculate the required clinicians’ sessions nurse appointments reception and admin staff hours offered per week."

Positive

"The intelligent monitoring tool draws on existing national data sources and includes indicators covering a range of GP practice activity and patient experience including the Quality Outcomes Framework QOF and the National Patient Survey."

Positive

"The CQC intelligent monitoring placed the practice in band six."

Positive

"Learning and improvement from safety incidents The practice had a system in place for reporting recording and monitoring significant events incidents and accidents."

Positive

"Management monitoring and improving outcomes for people The practice nurse had oversight for the management of a number of clinical areas including immunisations cervical cytology and some long term conditions."

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

"Streatham High Surgery is registered with the Care Quality Commission to carry on the regulated activities of Maternity and midwifery services Diagnostic and screening procedures Family planning Surgical procedures and Treatment of disease disorder or injury."

Positive

"The consultation and treatment rooms were spacious with room for baby pushchairs and wheel chair access."

Positive

"For example the practice maintained a register of patients in need of palliative care and held twice weekly multidisciplinary integrated care meetings where all patients on the palliative care register were discussed."

Positive

"The practice coordinated care for patients with palliative care needs with other services including out of hours services and palliative care teams."

Positive

"Where appropriate these meetings were attended by other professionals involved in the care of the patients discussed such as community matrons district nurses social workers palliative care nurses."

Positive

"They told us they enjoyed their involvement in the project meeting with other patients and particularly speaking to children and encouraging them to become interested in gardening and understanding more about how the food they eat is produced."

Neutral

"The garden within Gracefield Gardens health centre where the practice is based was part of the Food Coop."

Positive

"There was a suitably adapted entrance and lift access to the practice premises from street level disabled toilet facilities and corridors and consultation treatment rooms were able to comfortably accommodate wheelchair users."

Positive

"There was a suitably adapted entrance and lift access to the practice premises from street level disabled toilet facilities and corridors and consultation treatment rooms were able to comfortably accommodate wheelchair users."

Neutral

"• The practice held multidisciplinary clinical team meetings twice weekly to discuss the needs of complex patients for example those with end of life care needs or children on the at risk register."

Neutral

"The practice held multidisciplinary clinical team meetings twice weekly to discuss the needs of complex patients for example those with end of life care needs or children on the at risk register."

Neutral

"The practice has a system in place for completing clinical audit cycles."

Neutral

"An example of a clinical audit we saw a summary of was a Warfarin prescribing audit."

Positive

"Health and safety information was displayed for staff to see and there was an identified health and safety representative."

Positive

"We reviewed documentation relating to the operation of the practice such as policies and procedures staff records and certification to verify the health and safety of the premises."

Positive

"The practice had a health and safety policy."

Neutral

"The practice had a lead for infection prevention and control the practice nurse who had undertaken further training to enable them to provide advice on the practice infection control policy and audit the infection prevention and control arrangements."

Neutral

"Annual infection prevention and control audits were carried out in the practice and included reviews of the environment handwashing handling specimens and use of personal protective equipment."

Positive

"Cleaning responsibilities were shared with the facilities management team who were responsible for general domestic cleaning whilst the practice staff were responsible for the cleaning of any of their equipment and furniture."

Neutral

"We saw there were cleaning schedules in place and cleaning records were kept."

Neutral

"Patients’ hospital discharge summaries were allocated to a GP to review."

Neutral

"The patient’s medicines at hospital discharge were reviewed against their GP records."

Positive

"Medicines management We checked medicines stored in the treatment rooms and medicine refrigerators and found they were stored securely and were only accessible to authorised staff."

Positive

"Warfarin is an anticoagulant medicine that stops blood from clotting and is most commonly prescribed for people who have had a condition caused by a blood clot."