What is the Quality of Facilities at Eastbury Surgery

Positive

"• The practice told us that there had been locum nurses employed in the practice to cover the practice nurse’s sick leave which they felt had impacted on the survey results as previously patient satisfaction with nurse appointments was higher than average."

Positive

"• Consider ways to improve patient satisfaction with nurse appointments."

Positive

"The GP and practice nurse also accommodated home visits for those who had difficulties getting to the practice due to limited local public transport availability."

Neutral

"The practice nurse had trained to be a nurse trainer and the practice manager as an administrative staff mentor."

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

"A 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 regularly audited for inadequate smears."

Neutral

"The practice nurse had been supported to attend a minor illness course and had started treating patients with minor emergencies."

Positive

"• Staff encouraged and supported patients to be involved in monitoring and managing their health."

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 were arrangements for planning and monitoring the number and mix of staff needed."

Positive

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

Positive

"The practice used information from CQC intelligent monitoring to make improvements."

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."

Positive

"• Staff were clear on their roles and accountabilities including in respect of safeguarding and infection prevention and control • Practice leaders had established proper policies procedures and activities to ensure safety and assured themselves that they were operating as intended."

Positive

"• The provider held multidisciplinary case review meetings where patients on palliative care register were discussed."

Positive

"• The practices’ uptake for breast and bowel cancer screening was in line the national average."

Positive

"The GP and practice nurse also accommodated home visits for those who had difficulties getting to the practice due to limited local public transport availability."

Positive

"The GP and practice nurse also accommodated home visits for those who had difficulties getting to the practice due to limited local public transport availability."

Positive

"• Staff were clear on their roles and accountabilities including in respect of safeguarding and infection prevention and control • Practice leaders had established proper policies procedures and activities to ensure safety and assured themselves that they were operating as intended."

Neutral

"For example lifts were installed in the practice wheelchair access provided and modified toilet facilities."

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."

Positive

"This included an induction process onetoone meetings appraisals coaching and mentoring clinical supervision and support for revalidation."

Positive

"This included ongoing support during sessions onetoone meetings appraisals coaching and mentoring clinical supervision and facilitation and support for the revalidation of doctors."

Positive

"The practice learned from external safety events as well as patient and medicine safety alerts."

Positive

"Exception reporting is the removal of patients from QOF calculations where for example the patients decline or do not respond to invitations to attend a review of their condition or when a medicine is not appropriate."

Neutral

"For example as a result of incidents the practice had trained staff in confidentiality and reviewed medicine cold chain procedures."

Positive

"For example recent action taken as a result included the review of medicine management guidelines for antibiotic prescribing and the review of NICE guidance for the diagnosis of hypertension."

Positive

"• Clinical staff had a range of special interests including child health obstetrics gynaecology paediatrics women’s health acute and general medicine diabetes asthma and teaching trainee GPs."

Neutral

"We also spoke with two members of the patient participation group the chair and vice chair."

Positive

"There was a health and safety policy available."