What is the Quality of Facilities at Lea Vale Medical Practice

Positive

"We noted that the nurse was aware of how more vulnerable patients such as those who were homeless or had recently moved to England were susceptible to mental health problems due to their individual circumstances."

Positive

"The practice’s lead nurse described how this audit had identified that all referrals to secondary care for gynaecological conditions had been relevant and appropriate."

Positive

"For some specific situations where capacity to make decisions was an issue for a patient the practice nurse who had specialist training in mental health assessed patients’ ability to consent."

Positive

"There was a lead nurse in the practice for patients with learning disabilities."

Positive

"Health promotion and prevention It was practice policy to offer a health check with the health care assistant practice nurse to all new patients registering with the practice."

Positive

"The practice’s nurse partner was the practice lead for patients with caring responsibilities."

Positive

"There was a lead nurse for patients with mental health issues including dementia and learning disabilities."

Neutral

"There was a lead nurse in the practice for patients with mental health needs including dementia."

Neutral

"Nurses reported the actions they had taken in response to these alerts to the head nurse at the practice."

Neutral

"All practice nurses received training in health coaching from the practice nurse partner."

Neutral

"For example there was a lead nurse for infection control and the senior partner was the lead for long term conditions."

Positive

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

Positive

"There was a system in place for the management of high risk medicines which included regular monitoring in line with national guidance."

Positive

"Our review of the clinical meeting minutes confirmed that this issue and the work undertaken to improve the monitoring of blood sugars within that group was discussed in the meetings."

Positive

"Management monitoring and improving outcomes for people The practice had a system in place for completing clinical audit cycles."

Positive

"For example diabetes prevalence within the Eastern European population in the area covered by the practice was identified as needing to be addressed through better monitoring of patients’ blood sugar levels and other health and lifestyle factors."

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

"Staff told us about the arrangements for planning and monitoring the number of staff and mix of staff needed to meet patients’ needs."

Positive

"For example prescription patterns of a hypnotic medicine used to help patients who have difficulty sleeping."

Neutral

"The risks of reduction of prescribing this medicine in a particular patient group were discussed within the meeting demonstrating that the practice had carefully considered the impact upon those patients."

Neutral

"The chair of the PPG told us that there was always a member of the PPG on interview panels when GPs and nurses were recruited."

Positive

"These meetings were attended by district nurses social workers palliative care nurses and decisions about care planning were documented in a shared care record."

Positive

"The practice had a palliative care register and had regular internal as well as multidisciplinary meetings to discuss the care and support needs of patients and their families."

Neutral

"For example one member of staff who had progressed from a volunteer post to a full time administrative post described a range of training they had received in order to become a receptionist and subsequently the practice research lead."

Positive

"The notes of the practice’s significant event meetings showed that staff had discussed a medical emergency concerning a patient and that practice had learned from this appropriately."

Neutral

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

Positive

"We saw evidence that risks were discussed at clinical governance meetings which were attended by both clinical and nonclinical staff."

Positive

"We reviewed minutes of the practice’s clinical governance meetings and noted that learning from individual complaints was discussed there."

Positive

"They also told us alerts were discussed at clinical governance meetings and learning then cascaded to ensure all staff were aware of any that were relevant to the practice and where they needed to take action."

Positive

"We saw minutes of clinical governance committee meetings where new guidelines were disseminated the implications for the practice’s performance and patients were discussed and required actions agreed."

Neutral

"Once incidents had been investigated the findings were discussed at clinical governance meetings and actions recorded."

Neutral

"The practice held monthly clinical governance meetings."

Positive

"Management monitoring and improving outcomes for people The practice had a system in place for completing clinical audit cycles."

Positive

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

Positive

"The practice also had a health and safety policy."

Neutral

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

Positive

"The practice also carried out weekly ward rounds at a local care home for elderly people."