What is the Quality of Facilities at Belvoir Health Group

Positive

"The skill mix and numbers of staff had been strengthened by appointing a team leader for the three branch locations a nurse manager to lead the nursing team a second operations manager and a further health care assistant."

Positive

"• The skill mix and leadership had been strengthened by appointing a team leader for the three branch locations a nurse manager to lead the nursing team and a second operations manager."

Positive

"The skill mix and leadership had been strengthened by the appointment of a team leader for the three branch locations a nurse manager to lead the nursing team and a second operations manager."

Positive

"We also spoke with a district nurse and the primary care pharmacist."

Positive

"It was practice policy to offer a health check with the health care assistant practice nurse to all new patients registering with the practice."

Positive

"A named nurse was responsible for following up patients who did not attend screening."

Positive

"The practice had recently appointed a nurse manager who was an advanced nurse practitioner."

Neutral

"However three monthly clinical governance meetings had recently been introduced which involved the GPs and nurse manager."

Neutral

"During our visit we spoke with a range of staff including the business manager operations manager team leader nurse manager practice nurse healthcare assistant four GPs reception and clerical staff."

Neutral

"They involved all partners and salaried GPs and the nurse manager."

Neutral

"A nurse manager had recently been appointed to manage the nursing staff across the three branches which will bring about consistency in practice."

Neutral

"The nurse manager would carry out the nurses’ appraisal."

Neutral

"A nurse manager had recently been appointed."

Neutral

"For example the clinical staff held monthly clinics with the diabetes specialist nurse to review patients whose diabetes was not well controlled."

Neutral

"They involved all partner and salaried GPs and the nurse manager."

Positive

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

Positive

"GPs took the opportunity to follow up any screening or monitoring needed to ensure patient’s health and wellbeing."

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

"A system was in place for the management of high risk medicines which included regular monitoring in line with Are services safe?"

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."

Positive

"The PPG chair told us that the practice was reasonably good at responding to feedback from patients."

Positive

"The chair of the PPG also met regularly with the local Clinical Commissioning Group along with other PPGs to discuss issues affecting patient care."

Neutral

"We spoke with the chair of the PPG."

Positive

"The notes of the practice’s significant event meetings showed that staff had discussed a medical emergency concerning a patient and that the practice had learned from this and purchased additional equipment."

Positive

"The practice was applying the gold standards framework for end of life care focusing on advanced care planning and holistic care and reviewing the care provided for patients."

Positive

"Patients receiving end of life care were supported by the district nurses and specialist Macmillan nurses."

Positive

"For example the notes for patients receiving end of life care included essential information about their needs medicines and wishes."

Positive

"However three monthly clinical governance meetings had recently been introduced out of the need to improve the sharing of clinical knowledge and learning."

Positive

"Three monthly clinical governance meetings had recently been introduced out of the need to improve the sharing of clinical knowledge and learning."

Neutral

"However three monthly clinical governance meetings had recently been introduced which involved the GPs and nurse manager."

Positive

"Areas for improvement Action the service SHOULD take to improve • Further develop the clinical audit programme linked to medicines management information safety alerts and significant events to improve outcomes for patients."

Positive

"• Systems were in place to assess and review information about the quality and safety of services that people received although the clinical audit programme required developing to further improve outcomes for patients."

Positive

"Importantly the provider should: • Further develop the clinical audit programme linked to medicines management information safety alerts and significant events to improve outcomes for patients."

Positive

"The GP partners acknowledged the need to develop the clinical audit programme across the three branches linked to medicines management information safety alerts and significant events to improve outcomes for patients."

Positive

"This included developing clinical audit tools and supervision for nursing staff to ensure there was a robust assessment of their performance."

Positive

"For example one clinical audit focussed on foot care in regards to patients with diabetes."

Positive

"We saw that the practice had completed various health and safety risk assessments including actions required to reduce and manage the risks."

Positive

"The practice had a health and safety policy which staff had access to."

Positive

"There was also a health and safety representative."

Positive

"A quarterly health and safety meetings were held covering all three branches."

Positive

"The minutes of meetings showed that a wide range of health and safety issues were discussed and acted on at the meetings."

Positive

"Records showed that health and safety checks had been carried out at the required intervals."

Positive

"Clinical staff had a cleaning schedule which they were responsible for."

Neutral

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

Positive

"Clinical staff told us that patients at high risk of unplanned admissions to hospital including elderly patients and those with complex needs or in vulnerable circumstances had a care plan in place to help avoid this."