What is the Quality of Facilities at Trowbridge Surgery

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 director of operations and practice nurse shared the infection control lead role."

Positive

"At the time of our visit the next urgent and routine appointments were available the following day however the next appointment with a nurse was subject to an eight day wait."

Neutral

"The team included a GP specialist adviser a practice nurse specialist adviser and a practice manager specialist adviser."

Neutral

"For example the assistant practice manager had previously worked as a receptionist at another practice within the group."

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."

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

"There is limited local parking as permits are required though the area is served by buses and a local London Over ground station at Hackney Wick."

Positive

"• There were disabled facilities including step free access wheelchair assess and a disabled toilet."

Positive

"This included ongoing support during sessions onetoone meetings appraisals 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."

Positive

"They received training that included: safeguarding fire procedures basic life support infection control chaperoning health and safety equality and diversity customer service and information governance awareness."

Neutral

"It 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 participated in the local enhanced frail home visiting scheme that provided proactive care to elderly frail housebound patients."

Positive

"• There were longer appointments available for patients with a learning disability carers elderly patients and those with two or more serious medical conditions."

Positive

"Staff were reminded of the need to review patient management plans following release from hospital and an alert was to be placed on the notes in the future for patients on decreasing medicine regimes."

Neutral

"When the patient subsequently requested a prescription for the medicine they were given a standard amount rather than a decreasing regime."