What is the Quality of Facilities at Cumberland House Surgery

Positive

"For example: • Patients receiving end of life care were supported by the team following a palliative care template."

Positive

"• Several of the GP partners provide a service to East Cheshire Hospice which has led to an inhouse interest in palliative care."

Positive

"For example one partner led on liaison with the CCG locality group and CQC strategy clinical and information governance and elderly medicine including palliative care."

Positive

"The practice also encouraged its patients to attend national screening programmes for bowel and breast cancer screening and conducted aortic aneurysm screening and diabetic eye screening on the premises."

Positive

"For those with a learning disability the female practice nurse worked with the patient and where appropriate the support worker often over several sessions to build up rapport confidence and understanding of the process before actually carrying out the procedure."

Positive

"For example surveys had been carried out on introducing nurse triage telephone access and dignity and respect."

Positive

"For example the Health Care Assistant HCA had received training in dressing wounds the practice nurse received regular updates in diabetic care and cardiorespiratory disease."

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

"There are six nurses three full time and three part time one of these is a nurse practitioner all female one full time female health care assistant and a practice pharmacist."

Neutral

"Meetings were held with the home managers and the nurse practitioner visited weekly to offer advice to the staff and review condition management."

Neutral

"The practice nurse practitioner triaged patients by telephone to assess: • whether a home visit was clinically necessary; and • the urgency of the need for medical attention."

Positive

"• The practice ran an annual senior citizens event which included a flu clinic health promotion advice BP monitoring advice from the Fire service about smoke alarms Age UK attended to offer advice as did the red button alarm service East Cheshire hospice and Macclesfield Borough Council ."

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

"• The practice provided blood pressure machines for home monitoring of blood pressure levels and had introduced FLO telemonitoring of blood pressure."

Positive

"Another example was following an alert about blood sugar monitoring devices the nurses a GP and the pharmacist discussed the implications to the practice and an action plan was drawn up."

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 PPG had helped to rewrite the policy on managing patients who do not attend appointments had offered suggestions on improvements to car parking which Are services wellled?"

Neutral

"• The practice had established a “Young Persons hub” in the waiting area where teenage patients could access information using the internet to guide them in their choices about treatment."

Positive

"For example: • Patients receiving end of life care were supported by the team following a palliative care template."

Positive

"This included ongoing support onetoone meetings 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 which identified local health and safety representatives."

Neutral

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

Neutral

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

Positive

"For example one partner led on liaison with the CCG locality group and CQC strategy clinical and information governance and elderly medicine including palliative care."

Positive

"The majority of patients are white British with a high number of elderly patients and patients with chronic disease prevalence."

Positive

"• Practice staff visited care homes over three days each week to provide ward rounds confer with staff and managers and provide advice on medicine management."

Positive

"• The practice regularly worked with multidisciplinary teams in the case management of patients experiencing poor mental health including those with dementia and provided personalised medicine management including daily prescriptions if needed."

Positive

"For example one partner led on liaison with the CCG locality group and CQC strategy clinical and information governance and elderly medicine including palliative care."