What is the Quality of Facilities at Family Medical Centre

Positive

"There were errors in Patient Group Directions and Patient Specific Directions nurses were issuing prescriptions without GP review and limited oversight of nurse practice."

Positive

"The nursing team consists of an advanced nurse practitioner two practice nurses and a health care assistantphlebotomist."

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 team included a GP specialist adviser and a practice nurse specialist adviser."

Neutral

"At the time of the inspection visit the nurse was printing the contraceptive prescriptions and requesting GP signature either before or after the pill check."

Neutral

"We found nurses were printing prescriptions without GP review and nurse practice was not audited."

Positive

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

Positive

"The practice had carried out two cycle audits for anticoagulation in atrial fibrillation monitoring of an antiarrhythmic medication use of fibrates for cardiovascular disease and treatment of urinary tract infections."

Positive

"• Arrangements were in place for planning and monitoring the number and mix of staff needed to meet patients’ needs including planning for holidays sickness busy periods and epidemics."

Positive

"People with suspected hypertension were offered ambulatory blood pressure monitoring and patients with atrial fibrillation were assessed for stroke risk and treated as appropriate."

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

"It was monitoring prescribing levels and these were now below the CCG average."

Positive

"Regulated activities include Diagnostic and screening procedures Family Planning Maternity and midwifery services Surgical procedures and Treatment of disease disorder or injury."

Positive

"• Practice leaders had established policies procedures and activities to ensure safety but they had not assured themselves that they were operating as intended."

Positive

"• The practice’s uptake for breast and bowel cancer screening was in line with 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."

Neutral

"We saw the lift was serviced yearly and staff received training to use the manual wind mechanism."

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

"For example a television screen was installed in the reception area to show health promotion information within two weeks of PPG feedback."

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

"This included one to one meetings appraisals coaching and mentoring clinical supervision and revalidation."

Neutral

"The GPs followed up and reviewed medication after contact from other services such as outpatient clinics out of hours services and after receiving hospital discharge letters."

Positive

"• We saw the practice acted on and learned from external safety events as well as patient and medicine safety alerts."