What is the Quality of Facilities at Highview Medical Centre

Neutral

"Prior to the inspection the chair of the PPG had corresponded with the CQC by email."

Positive

"• The practice held regular review meetings involving district nurses GP’s and the local palliative care nurses for people that require end of life care and those on the palliative care register."

Positive

"• The practice shared relevant information with other services in a timely way for example when referring patients with palliative care needs to other services including with the out of hours service and community nursing services."

Positive

"For example there were nominated GP leads for safeguarding medicine management clinical governance and palliative care."

Positive

"• Continue to monitor and encourage attendance to the breast and bowel cancer screening programmes."

Positive

"This included morning home visits with GP and the nurse prescriber offering minor illness nursing and chronic disease management."

Positive

"The nurse practitioner was the infection control clinical lead who liaised with the local infection prevention team 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

"There is a nurse prescriber and two practice nurses."

Neutral

"• There was a process to communicate with the district nurse and health visitor."

Neutral

"There were also nurse led clinics for patients with respiratory conditions such as asthma and COPD immunisations and cervical cytology."

Positive

"For example following the latest patient survey results the practice had increased the number of appointments available each day including those available on line installed additional phone lines increased receptionist staff availability during peak times so phone calls could be answered quickly and made Are services responsive to people’s needs?"

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 in place for monitoring and managing risks to patient and staff safety."

Positive

"• Clinical staff told us that they used the templates on the electronic system to assist with the assessment and monitoring of patients with long term conditions such as diabetes COPD chronic obstructive pulmonary disease dementia mental health and learning disability."

Positive

"We reviewed the exception reporting and found that the practice had made every effort to ensure appropriate decision making including prompting patients to attend for the relevant monitoring and checks."

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

"There is a car park outside the surgery with adequate disabled parking available."

Positive

"• The practice held regular review meetings involving district nurses GP’s and the local palliative care nurses for people that require end of life care and those on the palliative care register."

Positive

"For example: • Patients receiving end of life care carers and those at risk of developing a longterm condition those patients with mental health problems and patients with learning difficulties."

Positive

"For example there were nominated GP leads for safeguarding medicine management clinical governance and palliative care."

Positive

"This included ongoing support onetoone meetings coaching and mentoring clinical supervision and facilitation and support for revalidating GPs."

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."

Neutral

"This covered such topics as safeguarding infection prevention and control fire safety health and safety and confidentiality."

Positive

"For example the practice had reviewed the use of a medicine prescribed to treat an overactive bladder to ensure it met good practice guidelines."

Positive

"We reviewed a safety alert related to a medicine used to treat overactive bladder and found the practice had acted on the recommendation to be aware of a contradiction in prescribing this medicine to patients with severe uncontrolled hypertension high blood pressure."

Positive

"For example there were nominated GP leads for safeguarding medicine management clinical governance and palliative care."

Neutral

"For example we saw that the practice had discussed the latest guidelines related to a medicine used in combination with a medicine to treat diabetes so all clinicians were aware of the local guidance in relation to the use of this medicine."