What is the Quality of Facilities at Townfield Health Centre

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 nurse specialised in longtermchronic disease management and patients at risk of hospital admission were identified as a priority."

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."

Positive

"The provider had employed more staff in order to improve patient experience such as GPs an advanced nurse practitioner and administration staff."

Positive

"The practice has two female and three male GPs one advanced nurse practitioner two practice nurses a healthcare assistant administration and reception staff and a practice management team."

Positive

"An advanced nurse practitioner was also employed to deal with clinical issues which did not need a GP."

Positive

"GPs the advanced nurse practitioner and the practices nurse had lead roles in key areas."

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."

Positive

"A Legionella risk assessment had been completed and water temperature monitoring was in place."

Positive

"Governance arrangements There is a systematic and integrated approach to monitoring reviewing and providing evidence of progress against the strategy and plans."

Positive

"One of the key achievements of this dashboard monitoring was seen in the reduced number of missed telephone calls after the introduction of a tailor made system."

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

"As well as addressing concerns regarding access monitoring of staff scheduling and QOF performance it serves as information to staff as to how well each practice is performing and acts to incentivise performance."

Neutral

"• The practice had a system for monitoring repeat prescribing for patients receiving medicines for mental health needs."

Neutral

"• There were cleaning schedules in place and monitoring systems to check these were adhered to."

Neutral

"• There were arrangements for planning and monitoring the number of staff and mix of staff needed to meet patients’ needs."

Neutral

"For example for those reviewing patients with longterm conditions and those monitoring anticoagulation drug therapies."

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."

Neutral

"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 sexual health."

Positive

"• The dashboard provided the management team with an overview of the systems used by the practice for example the results from the quality outcomes data QOF; staff deployment and availability; compliance with health and safety checks; clinical audits and staff training."

Positive

"For example health and safety related checks were carried out on the premises and on equipment on a regular basis."

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

"There was an 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 in place and infection control policies and protocols supported procedures for minimising the risks."

Neutral

"• There were cleaning schedules in place and monitoring systems to check these were adhered to."