What is the Quality of Facilities at Broadmead Surgery

Positive

"• The practice identified at an early stage older patients who may need palliative care as they were approaching the end of life."

Positive

"• The practice nurse was the infection prevention and control IPC clinical lead who liaised with the local infection prevention teams 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

"GPs conducted routine visits to these services with the practice nurse as well as encouraging and supporting patients in the mental health service to attend the practice."

Positive

"The practice made use of a local community transport service to help patients attend the practice and would coordinate GP and nurse appointments to reduce the need for repeat visits."

Neutral

"GPs were trained to child protection or child safeguarding level three and the practice nurse was also trained to level three."

Neutral

"The practice manager had recently completed a diploma in practice management and the practice nurse was developing her skills as a mentor for a nurse working at a local hospital."

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

"Monitoring risks to patients There were procedures for assessing monitoring and managing risks to patient and staff safety."

Positive

"The pharmacy offered support advice and clinics for smoking cessation diabetes medicines usage blood pressure monitoring and minor ailments."

Positive

"• The practice was a community lead for anticoagulation therapy monitoring services for patients taking warfarin an anticoagulant medicine that stops blood clotting."

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 had a system for monitoring repeat prescribing for patients receiving medicines for mental health needs."

Neutral

"There were cleaning schedules and monitoring systems in place."

Neutral

"• There were arrangements for planning and monitoring the number of staff and mix of staff needed to meet patients’ needs."

Positive

"The PPG also worked with the local authority to secure additional patient parking outside the practice and were consulted over the choice of computer system the practice would use to run its online patient services."

Positive

"The practice made use of a local community transport service to help patients attend the practice and would coordinate GP and nurse appointments to reduce the need for repeat visits."

Neutral

"• The practice made use of the local community transport service to assist patients who had difficulty attending the practice."

Positive

"The partnership is registered to carry on the regulated activities of diagnostic and screening procedures maternity and midwifery services and treatment of disease disorder or injury."

Neutral

"For example following an intermittent loss of internet connection to the clinical system the practice purchased a new secure laptop with wireless access to be kept onsite at all times and set up an agreement with the on site community services team to access the clinical system if needed."

Positive

"All patient facilities are wheelchair accessible and there are facilities for wheelchair users including an accessible toilet and hearing loop."

Positive

"There were early and ongoing conversations with these patients about their end of life care as part of their wider treatment and care planning."

Neutral

"The practice ensured that end of life care was delivered in a coordinated way which took into account the needs of different patients including those who may be vulnerable because of their circumstances."

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 and nurses."

Positive

"• There was a health and safety policy available."

Neutral

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

Positive

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

Neutral

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

Neutral

"There were cleaning schedules and monitoring systems in place."

Positive

"• The practice was a community lead for anticoagulation therapy monitoring services for patients taking warfarin an anticoagulant medicine that stops blood clotting."