What is the Quality of Facilities at Witton Street Surgery

Neutral

"There is a lead practice nurse and two practice nurses."

Positive

"Ninety four percent of respondents said the last nurse they saw or spoke to was good at giving them enough time."

Positive

"GPs and the practice nurse were able to refer patients for emotional support for example following bereavement."

Neutral

"The practice nurse had overall responsibility for ensuring emergency medicines were in date and carried out monthly checks."

Neutral

"The practice nurses attended local practice nurse forums and attended a variety of external training events."

Positive

"We rated the practice as requires improvement for providing safe services because: • The systems for monitoring medicines needed to be more robust."

Positive

"We based our judgement of the quality of care at this service on a combination of: • what we found when we inspected • information from our ongoing monitoring of data about services and • information from the provider patients the public and other organisations."

Positive

"The practice was not monitoring emergency medications to ensure that appropriate medications were available."

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 was not carrying out regular checks of the outcome of blood monitoring tests prior to prescribing medication to manage this."

Positive

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

Positive

"Management monitoring and improving outcomes for people The practice participated in the Quality and Outcomes Framework system QOF."

Positive

"The practice had a significant event monitoring policy and an electronic significant event recording form which was accessible."

Positive

"Monitoring safety and responding to risk There were procedures in place for monitoring and managing risks to patient safety."

Positive

"For example blood pressure monitoring equipment was annually calibrated."

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 has a small car park and there is parking on the road outside the practice and at a car park close by."

Positive

"For example patients had raised issues about the length of time they were permitted to park outside the practice and the risk of parking fines."

Positive

"Patients spoken with during the inspection told us they appreciated the longer parking times available whilst they were waiting to be treated at the practice."

Neutral

"The PPG had raised this issue with the local council who owned the land and their intervention resulted in longer parking times being implemented."

Neutral

"• Monitor the system to record spot checks of the cleaning undertaken by the cleaners and to record when equipment and clinical areas are cleaned."

Positive

"In response to patient needs the practice had recently purchased a bariatric chair to improve the safety and comfort for larger patients."

Positive

"Multidisciplinary team and palliative care meetings where held monthly were patient care was reviewed to ensure patients were receiving the support they required."

Positive

"They were also aware of the specialised needs of the patient population such as patients living in vulnerable circumstances patients experiencing poor mental health and patients with cancer and those receiving palliative care."

Positive

"For example patients on the ‘at risk’ register and palliative care register."

Positive

"Multidisciplinary team and palliative care meetings were held on a regular basis."

Neutral

"There was a cold chain policy refers to the process used to maintain optimal conditions during the transport storage and handling of vaccines starting at the manufacturer and ending with the administration of the vaccine to the patient in place and fridge temperatures were checked daily."

Positive

"A television screen in the waiting area also provided details of how to make a complaint."

Positive

"The practice had achieved and implemented the Gold Standards Framework to provide end of life care to ensure better lives for people and recognised standards of care for end of life care."

Positive

"The practice planned and liaised with the out of hours provider regarding any special needs for a patient; for example faxes were sent regarding end of life care arrangements for patients who may require assistance during the weekend."

Neutral

"The practice had a system in place for completing clinical audit cycles."

Positive

"Effective staffing The practice had an induction programme for newly appointed members of staff that covered such topics as fire safety health and safety and information governance."

Positive

"There was a health and safety policy available for all staff."

Neutral

"All new employees working in the building were given induction information for the building which covered health and safety and fire safety."