What is the Quality of Facilities at John Street Medical Practice

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 had a good skill mix of staff which included a nurse prescriber and focused care workers who were able to provide social and medical care for patients in need."

Positive

"The practice consists of one female GP and is currently being supported by a female advanced nurse practitioner a focused care worker practice nurse and health care assistant."

Positive

"• The lead advanced nurse practitioner with Hope Citadel Healthcare 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."

Neutral

"The practice belongs to a group of local practices who provide access to a GP and practice nurse at evenings and weekends."

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."

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

"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 and patients requiring help with social care needs such as benefits or housing advice."

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."

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 lead advanced nurse practitioner with Hope Citadel Healthcare 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."