What is the Quality of Facilities at Walnut Tree Health Centre

Positive

"• The practice held regular multidisciplinary team MDT meetings that made use of the Gold Standards Framework GSF for palliative care to discuss all patients on the palliative care register and to update their records accordingly to formalise care agreements."

Positive

"• The practice held palliative care meetings in accordance with the national Gold Standards Framework GSF involving district nurses GP’s and the local Willen Hospice nurses."

Positive

"A list of the practice palliative care patients was also shared with the out of hours service to ensure patients’ needs were recognised."

Positive

"The practice held multidisciplinary meetings to discuss the needs of palliative care patients and patients with complex needs."

Positive

"The practice nurse was the infection control clinical lead who liaised with the local infection prevention team 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

"The clinical team consists of three female GP partners two nurse practitioners qualified as Independent Prescribers two practice nurses one health care assistant and a phlebotomist."

Positive

"For example the practice had employed a pharmacist and increased nurse led minor illness appointments to alleviate pressures on GP appointments."

Positive

"A nurse practitioner had increased her sessions enabling her to provide additional minor illness clinics."

Positive

"The practice demonstrated how they encouraged uptake of the screening programme by having a lead nurse for cervical screening using information in different languages and information for those with a learning disability and by ensuring a female sample taker was available."

Neutral

"The practice is a training practice with an accredited GP trainer and a nurse practitioner also accredited as a GP trainer."

Neutral

"• The practice held regular safeguarding meetings attended by GPs the practice nurse and health visitor."

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

"For example a recent audit had been undertaken to ensure that patients taking medicines that required regular monitoring were receiving the appropriate checks."

Positive

"The audit highlighted that the practice system was effective for monitoring and supporting these patients."

Positive

"• There were procedures in place for monitoring and managing risks to patients 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 skill mix of staff needed to meet patients’ needs."

Neutral

"There is a car park outside the surgery with disabled parking available."

Neutral

"For example: • 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."

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 on the staff noticeboard 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."

Positive

"The practice recognised that some elderly patients were at risk of becoming isolated and had encouraged these patients to partake in an annual charity cake stall held during the flu vaccine clinics in an effort to encourage and develop social contact."

Positive

"• The practice supported registered frail elderly patients in a local nursing home."