What is the Quality of Facilities at Wells Park Practice

Positive

"There was no documented action plan in place to address breast or bowel cancer screening rates."

Neutral

"• The practice’s uptake for breast and bowel cancer screening was below the national average although the difference was not statistically significant."

Positive

"• Staff encouraged and supported patients to be involved in monitoring and managing their own health for example through social prescribing schemes."

Positive

"• Arrangements were in place for planning and monitoring the number and mix of staff needed to meet patients’ needs including planning for holidays sickness busy periods and epidemics."

Positive

"People with suspected hypertension were offered ambulatory blood pressure monitoring and patients with atrial fibrillation were assessed for stroke risk and treated as appropriate."

Positive

"Although the practice told us that they had made changes to telephone access to improve the percentage of calls answered the practice was not monitoring the impact of the changes made."

Positive

"There had been no effective action to reduce the delays and there was no active monitoring in place."

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

"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."

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

"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

"• Ensure systematic monitoring of all samples taken for the cervical screening programme."

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."

Neutral

"The area is wellserved by public transport and there is parking available."

Neutral

"The area is wellserved by public transport and there is parking available."

Neutral

"The area is wellserved by public transport and there is parking available."

Neutral

"The area is wellserved by public transport and there is parking available."

Neutral

"The area is wellserved by public transport and there is parking available."

Neutral

"The area is wellserved by public transport and there is parking available."

Neutral

"The area is wellserved by public transport and there is parking available."

Neutral

"The area is wellserved by public transport and there is parking available."

Neutral

"The area is wellserved by public transport and there is parking available."

Neutral

"• Practice leaders had established policies procedures and activities but had not assured themselves that they were operating as intended."

Positive

"• The practice acted on and learned from external safety events as well as patient and medicine safety alerts."

Neutral

"There was enough of each medicine that doctors could take what they felt necessary and there still be a full set in the practice."

Neutral

"• There were monthly multidisciplinary meeting with district nurses social services and palliative care team were vulnerable older patients were discussed."

Neutral

"The practice trains junior doctors as GPs and takes nurse practitioners and nursing students for placements."

Neutral

"The practice trains junior doctors as GPs and takes nurse practitioners and nursing students for placements."

Positive

"The nurse specialist was the infection control 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

"During our visit we: • Spoke with GPs a practice nurse a health care assistant members of the administration team and spoke with patients who used the service."

Positive

"The practice had a system for production of Patient Specific Directions to enable Health Care Assistants to administer vaccinations after specific training when a doctor or nurse were on the premises."

Positive

"• Proactive home visits by a nurse practitioner were provided to older vulnerable patients for review of their chronic diseases."

Positive

"• The practice nurse managed a failsafe system to ensure results were received for all samples she took for the cervical screening programme."

Positive

"• The nurse practitioner offered proactive sixmonthly home visits of older vulnerable patients to review their chronic diseases."

Neutral

"The practice trains junior doctors as GPs and takes nurse practitioners and nursing students for placements."

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."

Positive

"There was a health and safety policy."

Neutral

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

Positive

"• Arrangements to ensure that staff had received were up to date as to their roles and accountabilities including in respect of safeguarding and infection prevention and control were not effective."

Neutral

"• There was a system to manage infection prevention and control but it was not sufficiently well designed or implemented."

Neutral

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

Positive

"A system of duty receptionist was introduced to allow all reception staff to all learn new skills and the practice had trained a member of staff who had worked on reception as a health care assistant."

Positive

"A lift allowed patients with disabilities and parents with young children access to all floors."

Positive

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

Neutral

"We saw notes of meetings with the cleaning company where any issues identified were fed back."