What is the Quality of Facilities at The Leys Health Centre

Positive

"• Identify how to promote better awareness of the bowel cancer screening to help increase uptake on the screening programme."

Positive

"A practice nurse was the infection control clinical lead who followed appropriate guidance."

Neutral

"The team included a GP specialist adviser a nurse specialist adviser and an Expert by Experience."

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

"• We saw an audit on the care of patients with prediabetes those who are beginning to show symptoms but not yet diagnosed with the condition to determine if monitoring of their health was meeting national guidance."

Positive

"• There were procedures in place for monitoring and managing risks to patients 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

"• There was monitoring of patients on long term medicines."

Neutral

"• Arrangements were in place for planning and monitoring the number of staff and mix of staff needed to meet patients’ needs."

Neutral

"• There was an understanding of the performance of the practice through monitoring such as clinical audit."

Positive

"Management monitoring and improving outcomes for people The practice participated in a cycle of clinical audit to ensure that the delivery of care and treatment achieved positive outcomes for patients."

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

"To further improve phone access another receptionist had been employed."

Positive

"For example a medical emergency involving a baby which was successfully dealt with investigated and additional equipment was purchased to ensure the situation could be handled with greater efficiency if it occurred again."

Neutral

"The practice is registered for the correct regulated activities in relation to the services it provides and there is a registered manager in post."

Positive

"Patients were encouraged to participate in health promotion activities such as breast screening cytology and smoking cessation."

Positive

"There were health and safety policies available for staff."

Positive

"The practice was clean and tidy and systems were in place to identify and manage health and safety risks."

Positive

"These included health and safety and infection control risk assessments."

Positive

"This included health and safety risk assessments and infection control audits."

Positive

"There were sufficient arrangements to manage the risks associated with infection prevention and control and evacuation of the building in an emergency."

Positive

"There was no emergency medicine stored which may be required by the practice due to procedures undertaken by staff."

Positive

"The practice carried out regular medicine checks to ensure medicines were safely stored and within their expiry dates."

Positive

"They were undertaken for a variety of reasons such as medicine alerts or where improvements to clinical care were identified as necessary."

Neutral

"The practice provided figures to us for patients on repeat prescriptions who had an up to date medicine review."

Positive

"The practice had ensured that more people at two local nursing homes had an end of life care plan."

Positive

"An example of this was an audit of patients with end of life care plans in a local nursing home."

Neutral

"Although these services were managed separately for example maternity and speech and language therapy the practice worked together with these services."

Positive

"Systems to monitor and improve quality & improvement The practice had systems of clinical audit to monitor and improve the quality of service it delivered."

Positive

"Management monitoring and improving outcomes for people The practice participated in a cycle of clinical audit to ensure that the delivery of care and treatment achieved positive outcomes for patients."

Positive

"The practice had a cycle of clinical audit to ensure they met and continued to meet recognised good practice."

Positive

"An effective system of clinical audit was in place."

Positive

"Nonclinical audits such as cleaning and waste management had been completed."

Neutral

"Cleaning checks had been carried out and we saw records of meetings that had taken place between the practice and the cleaning contractor to discuss the findings and implement an action plan when needed."

Neutral

"We also saw evidence that showed the practice had taken steps to find a new cleaning contractor."