What is the Quality of Facilities at Wrenbury Medical Practice

Positive

"• The practice used the ‘Gold Standard Framework’ this is a systematic evidence based approach to improving the support and palliative care of patients nearing the end of their life to ensure patients received appropriate care."

Positive

"The practice used the ‘Gold Standard Framework’ this is a systematic evidence based approach to improving the support and palliative care of patients nearing the end of their life to ensure patients received appropriate care."

Positive

"Clinical staff held lead roles and special interests in a range of areas including; elderly and intermediate care diabetes palliative care mental health safeguarding minor operations and women’s health."

Positive

"Bowel cancer screening rates were higher than the national average."

Positive

"A practice nurse was the infection control clinical lead and they liaised with the local infection prevention team to keep up to date with best practice."

Positive

"During our visit we: • Spoke with a range of staff including GPs a practice nurse a health care assistant the practice manager dispensing reception and administrative staff."

Neutral

"Practice nurses attended local practice nurse forums."

Positive

"Management monitoring and improving outcomes for people The practice used information collected for the Quality Outcomes Framework QOF and performance against national screening programmes to monitor outcomes for patients."

Positive

"We reviewed information from CQC intelligent monitoring systems."

Positive

"We noted that the system for monitoring patients prescribed Lithium meant that follow up blood testmonitoring could be missed."

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

"There was a system in place for the management of high risk medicines which included regular monitoring and appropriate action was taken based on the results in line with national guidance."

Neutral

"Members of the PPG told us they were involved in a range of activities including; regular attendance at meetings with the practice manager and one of the GP partners."

Positive

"Patients receiving end of life care were signposted to support services."

Positive

"The practice had a dedicated member of staff who was the clinical governance lead."

Neutral

"The practice had a designated GP who was the clinical governance lead."

Positive

"There was a health and safety policy available and staff had been provided with training in health and safety."

Positive

"• Increase security arrangements for rooms containing equipment cleaning products and fridges where immunisationvaccinations are stored."

Positive

"• A number of GPs held a special interest in elderly care including for those with complex conditions and one GP had a special interest in end of life care."

Positive

"Clinical staff held lead roles and special interests in a range of areas including; elderly and intermediate care diabetes palliative care mental health safeguarding minor operations and women’s health."

Positive

"One high risk medicine that needed regular blood tests was not being managed in the same way; however the practice took steps to change the process during our visit."

Positive

"A barcode scanning system was in use for dispensing providing additional dispensing accuracy assurances however there had been a significant event were the accuracy check had been overridden and the wrong medicine was given to one patient."

Neutral

"We checked medicines stored in the dispensary and medicine refrigerators and found they were stored appropriately with access restricted to authorised staff."

Neutral

"The management team engaged with the local CCG and attended regular medicine management meetings."