What is the Quality of Facilities at Crich Medical Practice

Positive

"When providing care and treatment for children and young people staff carried out assessments of capacity to consent in line with relevant guidance and where a patient’s mental capacity was unclear the GP or practice nurse assessed the patient’s capacity and recorded the outcome of the assessment."

Positive

"The practice had since been able to provide joint clinics with as visiting diabetic nurse and a prediabetes clinic to advise patients who may be at risk of developing diabetes."

Positive

"• The practice recognised that leg ulcers were taking a considerable amount of nursing time and employed a practice nurse who was a nurse on a Burns Ward bringing useful experience to the team."

Positive

"The practice team includes administrative staff a Lead nurse two practice nurses two health care assistants and a team of dispensers."

Positive

"Records reviewed showed quarterly safeguarding meetings took place where the GP practice nurse and health visitor discussed patients in vulnerable circumstances including children."

Positive

"Nurses were also given time and support to address their needs for nurse revalidation."

Positive

"These meetings included a GP care coordinator community health team representatives community matron district nurse health visitor social work team and the community mental health team where required."

Positive

"• Cardiovascular screening was encouraged and a new nurse was recruited to provide this service."

Neutral

"• A specialist nurse was recruited to work with patients with leg ulcers to improve outcomes for this problem."

Positive

"For example recent action taken as a result included improvement to monitoring patients taking Terbinafine a medicine used to treat fungal nail or skin infections Effective staffing Staff had the skills knowledge and experience to deliver effective care and treatment."

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

"There was a temperature monitoring system in the medicines fridges to ensure that vaccines were stored at the correct temperature and emergency drugs were in date and regularly checked."

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 were aware that improvements were required in relation to record keeping of some activities and were working on a plan to address this."

Positive

"There was a health and safety policy available which was accessible to all staff electronically."

Neutral

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

Neutral

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

Positive

"However the practice told us that the branch surgeries were in need of some attention in regard to cleaning schedules decoration and replacement of worn items."

Neutral

"Other issues included further attention to cleaning including some carpets toys footstool and fans and a cleaning schedule implemented for each room so that this could be recorded accordingly."

Positive

"For example recent action taken as a result included improvement to monitoring patients taking Terbinafine a medicine used to treat fungal nail or skin infections Effective staffing Staff had the skills knowledge and experience to deliver effective care and treatment."

Positive

"For example prescribing an alternative medicine if a concern had been raised about the safety of a particular medicine."