What is the Quality of Facilities at Holmside Medical Group

Positive

"The practice had a palliative care register and had regular internal as well as multidisciplinary meetings to discuss the care and support needs of palliative care patients and their families Effective staffing The staff team included medical nursing health care pharmacy managerial and administrative staff."

Positive

"For example staff held monthly palliative care meetings with community and Macmillan nursing staff to ensure these patients’ needs were identified and met."

Positive

"The practice maintained a palliative care register."

Positive

"We saw there were procedures in place to inform external organisations about any patients on a palliative care pathway."

Neutral

"• The practice regularly worked with multidisciplinary teams in the case management of vulnerable people such as palliative care patients and those with safeguarding concerns."

Neutral

"The practice held monthly multidisciplinary team meetings with health visitors and the community matron to discuss palliative care patients and vulnerable children."

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

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

Positive

"The practice nurse was the lead for infection control and the practice manager for health and safety."

Neutral

"During our visit we spoke with a mix of clinical and nonclinical staff including four GPs the practice nurse the practice manager and other nonclinical staff."

Positive

"This had been implemented after a receptionist had misunderstood a doctor’s comments and given incorrect information to a patient."

Positive

"Areas for improvement Action the service SHOULD take to improve • Consider replacing the carpet in the phlebotomy room of the main surgery with easy clean flooring • Review and strengthen the process for recording and monitoring computer prescriptions."

Positive

"The practice should: • Consider replacing the carpet in the phlebotomy room of the main surgery with easy clean flooring • Review and strengthen the process for recording and monitoring computer prescriptions."

Positive

"Management monitoring and improving outcomes for people The clinical staff monitored how well the practice performed against key clinical performance indicators such as those contained within the Quality and Outcomes Framework QOF."

Positive

"This system enables staff to flag up any issues via their surgery computer to a central monitoring system so that the local CCG can identify any trends and areas for improvement."

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

"• Arrangements were in place for planning and monitoring the number of staff and mix of staff needed to meet patients’ needs."

Neutral

"On street parking is available nearby."

Neutral

"Car parking facilities including disabled car parking spaces are available on site."

Positive

"The practice was able to demonstrate that it undertook clinical audit cycles to help improve patient outcomes."

Positive

"There was a health and safety policy available."

Positive

"The practice had the largest population of elderly patients in the West of Newcastle and the practice had responded to this to ensure staff provided proactive personalised care which met the needs of older patients."

Positive

"The practice had a system in place to ensure that hospital discharge letters were reviewed and patients contacted if appropriate to review their medication and ensure the patients’ needs were being met."

Positive

"Where it had not been felt appropriate to prescribe this medicine a reason had been documented on the patients record."