What is the Quality of Facilities at Wateringbury Surgery

Positive

"Management monitoring and improving outcomes for people The practice participated in the Quality and Outcomes Framework system QOF."

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

"• The practice had an induction programme for newly appointed nonclinical members of staff that covered such topics as safeguarding infection prevention and control fire safety health and safety and confidentiality."

Positive

"Meaning that patients can be seen at the practice with a minor injury and if an xray is deemed necessary these are requested and conducted at the hospital on the same day."

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 where appropriate recorded the outcome of the assessment."

Positive

"We saw evidence that the nurse had received appropriate training and been assessed as competent to administer the medicines referred to under a PGD."

Positive

"• The practice nurse was the clinical lead who liaised with the local infection prevention teams to keep up to date with best practice."

Neutral

"During our visit we spoke with a range of staff including three GPs a practice nurse three dispensers four administration staff and the practice manager."

Positive

"This included ongoing support during sessions onetoone meetings appraisals coaching and mentoring clinical supervision and facilitation and support for the revalidation of doctors."

Positive

"Overview of safety systems and processes • The practice could demonstrate its safe track record through having risk management systems in place for safeguarding health and safety and staffing."

Positive

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

Neutral

"• The practice had an induction programme for newly appointed nonclinical members of staff that covered such topics as safeguarding infection prevention and control fire safety health and safety and confidentiality."

Positive

"Cleaning schedules were not in place to define in detail who was responsible for cleaning which areas of the consultation rooms."

Positive

"In the absence of cleaning schedules there was no evidence to show that deep cleaning of these carpets was undertaken."

Neutral

"• Home visits were available for elderly patients."

Positive

"Regular medicine audits were carried out with the support of the local clinical commissioning group pharmacy teams to ensure the practice was prescribing in line with best practice guidelines."

Positive

"Adverse incidents relating to medicines were appropriately recorded and actions had been taken to address them for example a patient was dispensed an incorrect medicine and upon discovery the incident was immediately resolved and the patient received the correct medication without harm being caused."

Positive

"We spoke with GPs dispensing staff and members of the nonclinical team who told us there was a system for checking that repeat prescriptions were issued according to medicine review dates and to ensure that patients on longterm medicines were reviewed on a regular basis."

Neutral

"• All these patients had a named GP and a structured annual review to check that their health and medicine needs were being met."