What is the Quality of Facilities at The Groves Medical Centre

Positive

"Management monitoring and improving outcomes for people Staff across the practice had key roles in monitoring and improving outcomes for patients."

Positive

"Learning and improvement from safety incidents The practice had a system in place for reporting recording and monitoring significant events incidents and accidents."

Positive

"There was a system in place for the management of high risk medicines which included regular monitoring in line with national guidance."

Positive

"One of the practice nurses had responsibility for monitoring the temperatures however there were no clear lines of delegation on the occasion the nominated nurse was absent."

Positive

"The practice had a system in place for reporting recording and monitoring significant events incidents and accidents."

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

"Staff told us about the arrangements for planning and monitoring the number of staff and mix of staff needed to meet patients’ needs."

Positive

"The practice had a health and safety policy; health and safety information was displayed for staff to see and there was an identified health and safety lead."

Positive

"We saw completed risk assessments in relation to fire safety and first aid however whilst we were told regular health and safety checks were carried out of the building and the environment these were not recorded."

Positive

"We saw that any risks and health and safety were standing agenda items at clinical and nonclinical staff meetings."

Positive

"We reviewed staff training records and saw that all staff were up to date with attending mandatory courses such as basic life support fire safety health and safety infection control and safeguarding."

Positive

"Risks and health and safety were standing agenda items at clinical and nonclinical staff meetings."

Positive

"There was a standard meeting agenda for this meeting which included for example complaints safety alerts health and safety and significant events."

Positive

"We saw minutes from one meeting where for example safeguarding staff training and health and safety had been discussed."

Neutral

"• Ensure health and safety risk assessments are documented."

Neutral

"We looked at a number of these policies and procedures including those relating to health and safety fire safety portable appliance testing infection control and repeat prescribing."

Neutral

"The senior partner is chair of the Local Medical Committee; whilst another of the practice GPs chairs the local Clinical Commissioning Group CCG."

Positive

"We were told by the GPs that these meetings were attended by for example district nurses palliative care nurses and health visitors."

Positive

"For example one practice nurse held the responsibility to ensure the temperature of the vaccine refrigerators were checked daily however when they were not on duty remaining staff had no clear idea who would carry out this task."

Positive

"However it fell below the CCG averages in for example patients being able to see their preferred GP; for ease of getting an appointment; for the GP giving the patients enough time and for the nurse listening to patients."

Positive

"One of the senior partners and also the nurse practitioner were responsible for allocating any results in the pool that had not been sent to individual GP email inboxes with the aim of actioning all results on a daily basis."

Positive

"One of the practice nurses had responsibility for monitoring the temperatures however there were no clear lines of delegation on the occasion the nominated nurse was absent."

Positive

"There was a six member nursing team of whom one was an independent nurse prescriber and other nurses had specific long term condition clinical interests."

Neutral

"However with the exception of a consent policy which did not specifically refer to consent for minor surgery the practice was unable to provide information as the GP was unavailable and the nurse who specifically dealt with this area was on leave."

Neutral

"There was lift access to the first floor."

Positive

"The Groves Medical Practice is registered with the Care Quality Commission to carry on the regulated activities of Maternity and midwifery services Diagnostic and screening procedures Family planning Surgical procedures and Treatment of disease disorder or injury."

Neutral

"The team made use of clinical audit tools clinical supervision and staff meetings to assess the performance of clinical staff."

Neutral

"The team made use of clinical audit tools clinical supervision and staff meetings to assess the performance of clinical staff."

Neutral

"We saw there were cleaning schedules in place and cleaning records were kept."

Positive

"One of the GPs was able to give us an example where they had been involved in a dispute between two family members about the care of their elderly relative who lacked capacity and was resident in a care home."

Positive

"A number of the GPs had special interests in for example drugs and alcohol sexual health the elderly diabetes mental health and baby clinics."

Positive

"For example it provided services for patients with a drug or alcohol dependency and patients with no fixed abode."

Positive

"Medicines management We checked medicines stored in the treatment rooms and medicine refrigerators of which there were three and found they were stored securely and were only accessible to authorised staff."

Positive

"The findings resulted in a number of patient medicine reviews and led to four medicine changes and three cases where medicines were stopped."