What is the Quality of Facilities at Westbury Medical Centre

Positive

"The most recent annual mortality report showed that the practice had reviewed each relevant record and had looked in particular at diagnosis timescales and palliative care management as well as monitoring the quality of reports sent to the Coroners office."

Positive

"The practice nurse 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 a range of staff including two GPs a physician associate a nurse practitioner practice manager health care assistants and members of the administration and reception teams and spoke with patients who used the service."

Positive

"Daily telephone consultations were also available with advanced nurse practitioners."

Positive

"Patients with mental health needs could attend the surgery without an appointment and would be seen by either a doctor or an advanced nurse practitioner."

Neutral

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

Neutral

"• The practice had recognised that some older patients and those with long term conditions experienced difficulty accessing community phlebotomy services and had trained one nurse practitioner and two healthcare assistants as phlebotomists to provide an inhouse phlebotomy service."

Positive

"Management monitoring and improving outcomes for people Staff teams and services worked collaboratively to ensure people who had complex needs were supported to receive coordinated care and there were innovative and efficient ways to deliver more joinedup care to people who use services."

Positive

"The most recent annual mortality report showed that the practice had reviewed each relevant record and had looked in particular at diagnosis timescales and palliative care management as well as monitoring the quality of reports sent to the Coroners office."

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

"All staff were actively engaged in activities to monitor and improve quality and outcomes."

Positive

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

Positive

"• 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 and people at risk of becoming homeless."

Positive

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

Positive

"Nurse Practitioners had protected weekly clinical supervision meetings with a GP."

Positive

"There was a health and safety policy available with a poster in the reception office which identified local health and safety representatives."

Neutral

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

Neutral

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

Neutral

"For instance the practice had recruited a Physician Associate and had created and recruited to a specialist administrative role whose responsibilities included reviewing all incoming correspondence including hospital discharge letters and pathology results."

Neutral

"As a result of this review the practice had created and recruited to a specialist administrative role whose responsibilities included reviewing all incoming correspondence including hospital discharge letters and pathology results."

Neutral

"The practice had also created and recruited to a specialist administrative role whose responsibilities included reviewing all incoming correspondence including hospital discharge letters and pathology results."

Positive

"For instance there was advice on what to keep in a domestic first aid kit and medicine box there was information about maintaining good eyesight and dental hygiene as well as a wide range of links to local and national health resources."

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

"This medicine can cause lactic acidosis in some patients with a low GFR."

Neutral

"This specialist administrator updated read codes and medicine changes on the computer system on a daily basis."